The Commonwealth Fund

International Lessons on Pricing and Financing High-Cost Medicines: Policy Options for the United States

Novel medicines hold promise for patients, but rising costs pose affordability and equity challenges for health systems ...
The Commonwealth FundOpinion

Beyond “Most Favored Nation” Drug Pricing: What the U.S. Can Learn from Other Countries

The renewed debate over Most Favored Nation (MFN) drug pricing in the United States reflects a legitimate frustration: ...
The Commonwealth Fund

Some States Blunted the Impact of Lost Federal Marketplace Subsidies, But Efforts Will Be Hard to Sustain

Initial numbers show marketplace sign-ups down by more than 1 million people nationwide in 2026, with enrollment expected to ...
The Commonwealth Fund

Sharing a Workplace: How Health Systems Make Artificial Intelligence Useful to Clinicians

This issue of Transforming Care looks at how employees of health care systems are working to make AI useful while also ...
Commonwealth Fund

Biennial Health Insurance Survey

Roughly 55 percent of Medicaid enrollees are working full or part time, and a number aren’t eligible for health insurance through their jobs. Read more in an explainer here.
Commonwealth Fund

How Differences in Medicaid, Medicare, and Commercial Health Insurance Payment Rates Impact Access, Health Equity, and Cost

Roughly 55 percent of Medicaid enrollees are working full or part time, and a number aren’t eligible for health insurance through their jobs. Read more in an explainer here. Persistent and growing ...
Commonwealth Fund

Health Care Quality-Spending Interactive

The U.S. spends far more on health care than other wealthy nations, but that investment does not achieve better quality of care or improved health outcomes . Furthermore, both spending and quality ...
Commonwealth Fund

Health Insurance Tax Credits: Their Unexpected Effectiveness, and Policies to Support Them

The main purpose of the Affordable Care Act (ACA) was to make health coverage affordable and available to all Americans, with the goal of near-universal coverage. To build on existing coverage (namely ...
Commonwealth Fund

Reforming ERISA to Help States Control Health Care Costs

Critiques of ERISA’s preemption provision focus on its unpredictable breadth and its unintended consequences for regulation of health benefits. ERISA supplies relatively few federal rules for health ...
Commonwealth Fund

If Expanded Federal Premium Tax Credits Expire, State Affordability Programs Won’t Be Enough to Stem Widespread Coverage Losses

A core goal of the Affordable Care Act (ACA) is to make comprehensive individual market health insurance more affordable. To accomplish this, the law features insurance premium tax credits (PTCs) as ...
Commonwealth Fund

Primary Care in High-Income Countries: How the United States Compares

Primary care providers (PCPs) serve as most people’s first point of contact with the health care system. These clinicians build relationships with their patients over time and help coordinate care ...
Commonwealth Fund

Can Community Paramedicine Improve Health Outcomes in Rural America?

The article is part of a partnership between the Commonwealth Fund and the Bassett Research Institute in Cooperstown, N.Y., to explore innovative approaches to the health care challenges facing rural ...