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Many Americans believe our health insurance system needs reform. Others prefer to let each state chart its own course. Researchers from consider how variations in political values, attitudes toward government, and experiences with the health care system shape people’s preferences with regard to health system change.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - July 3, 2020 Category: International Medicine & Public Health Authors: Adrianna McIntyre, Robert J. Blendon, John M. Benson, Mary G. Findling, Eric C. Schneider, M.D. Source Type: research

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COVID-19 cases in the U.S. are climbing again, and data show that Black and Latinx Americans are contracting and dying at higher rates than white Americans         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - June 26, 2020 Category: International Medicine & Public Health Authors: Shanoor Seervai Source Type: research

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Researchers looked at the financial performance of four of the largest publicly traded for-profit hospitals. They found declines in service volume and operating profits, as well as a 52 percent drop in market value since the start of the COVID-19 pandemic.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - June 26, 2020 Category: International Medicine & Public Health Authors: John (Xuefeng) Jiang, Ge Bai, Lovisa Gustafsson, Gerard Anderson Source Type: research

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The Commonwealth Fund has been collaborating with researchers at Harvard University and Phreesia, a health care technology company, to document the dramatic changes to ambulatory care practices wrought by COVID-19. The first snapshot revealed a staggering 58 percent drop in outpatient visits in late March. Since then, there’s been a rebound in visits as medical offices reopened and patients began to return.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - June 25, 2020 Category: International Medicine & Public Health Authors: Martha Hostetter, Sarah Klein Source Type: research

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The COVID-19 pandemic has dramatically changed how outpatient care is delivered. To decrease the risk of transmitting the virus, providers had been deferring elective visits when possible, and also are converting in-person visits to telemedicine visits. This third report describes visit trends through June 20, 2020.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - June 25, 2020 Category: International Medicine & Public Health Authors: Ateev Mehrotra, Michael Chernew, David Linetsky, Hilary Hatch, David Cutler Source Type: research

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A Commonwealth Fund survey looks at how the COVID-19 pandemic has affected health insurance coverage. Findings include: 2 in 5 adults who lost a job or were furloughed had job-based health coverage; and Black and Hispanic people were more likely to be laid off or furloughed.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - June 23, 2020 Category: International Medicine & Public Health Authors: Sara R. Collins, Munira Z. Gunja, Gabriella N. Aboulafia, Erin Czyzewicz, Christian H. Kline, Robyn Rapoport, Sarah Glancey Source Type: research

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With more than 20,000 new cases and more than 700 new deaths each day from COVID-19, some of our most powerful national leaders are touting a highly uncertain best-case scenario — the discovery of vaccines or medications — while willfully ignoring the pandemic-controlling options in front of us.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - June 19, 2020 Category: International Medicine & Public Health Authors: Eric C. Schneider, M.D. Source Type: research

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Every day, primary care providers are on the front lines of the COVID-19 pandemic, treating sick patients even as they worry about bringing the virus home to their families. Many still lack adequate protective gear, and many worry about the financial stability of their practices. With the U.S. starting to reopen, we need our primary care practices to keep their lights on — not only to test and treat people with mild symptoms but also to address health concerns that people have neglected while staying home. On this episode of The Dose podcast, health policy expert Farzad Mostashari, M.D., who advises and supports hu...
Source: The Commonwealth Fund: Publications - June 13, 2020 Category: International Medicine & Public Health Authors: Shanoor Seervai Source Type: research

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Some poor and sick Americans qualify for both Medicare and Medicaid. But the programs are administered separately and care is fragmented. In the Journal of General Internal Medicine, Arielle Elmaleh-Sachs, M.D., and Eric Schneider, M.D., examine Dual-Eligible Special Needs Plans, which aim to integrate the programs.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - June 2, 2020 Category: International Medicine & Public Health Authors: Arielle Elmaleh-Sachs, M.D., Eric C. Schneider, M.D. Source Type: research

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Health care is about so much more than medical tests or treatments. But, too often, health care providers forget to ask patients what they think would make them feel better. On today’s episode of The Dose, we talk about one community health worker program, IMPaCT, that is helping some of the poorest and sickest Americans meet their health and social needs.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - May 29, 2020 Category: International Medicine & Public Health Authors: Shanoor Seervai Source Type: research

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        (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - May 29, 2020 Category: International Medicine & Public Health Source Type: research

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Before the coronavirus pandemic, a handful of maternity care providers were experimenting with video visits, tools to allow at-home monitoring, and texting platforms to engage more women in care and offer ongoing, customized support. While clearly some parts of maternity care can’t be shifted to virtual formats — most prominently, hands-on care from doulas, midwives, and obstetricians during childbirth — many can be facilitated by digital health tools. In this roundup, we spoke to maternity care innovators at academic medical centers, nonprofits, and technology startups to find out how they&rsqu...
Source: The Commonwealth Fund: Publications - May 28, 2020 Category: International Medicine & Public Health Authors: Martha Hostetter, Sarah Klein, Laurie Zephyrin, M.D. Source Type: research

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A Commonwealth Fund analysis comparing U.S. mental health care to 10 other high-income countries finds that Americans are among the most likely to report problems accessing or affording mental health treatment. Other countries do a better job of integrating mental health into primary care, making it more affordable.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - May 22, 2020 Category: International Medicine & Public Health Authors: Roosa Tikkanen, Katharine Fields, Reginald D. Williams II, Melinda K. Abrams Source Type: research

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The COVID-19 pandemic has dramatically changed how outpatient care is delivered in health care practices. To decrease the risk of transmitting the virus to either patients or health care workers within their practice, providers are deferring elective and preventive visits, such as annual physicals. When possible, they are also converting in-person visits to telemedicine visits. For their part, many patients are also avoiding visits because they do not want to leave their homes and risk become exposed. Also influencing both provider and patient behavior are the evolving local and state recommendations restricting travel and...
Source: The Commonwealth Fund: Publications - May 19, 2020 Category: International Medicine & Public Health Authors: Ateev Mehrotra, Michael Chernew, David Linetsky, Hilary Hatch, David Cutler Source Type: research

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On the latest episode of The Dose, we hear from Norma Tinubu and Emily Foote about how attorneys from the New York Legal Assistance Group work with health care providers at NYC Health + Hospitals, the largest public health care system in the U.S.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - May 16, 2020 Category: International Medicine & Public Health Authors: Shanoor Seervai Source Type: research

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A Commonwealth Fund study offers the first comprehensive profile of Medicare Advantage enrollees, highlighting recent trends in this population’s demographic and clinical makeup as well as its health care use, spending, and quality.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - May 13, 2020 Category: International Medicine & Public Health Authors: Christie Teigland, Zulkarnain Pulungan, Tanya Shah, Eric C. Schneider, M.D., Shawn Bishop Source Type: research

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There are 14 states that haven’t expanded Medicaid under the ACA. Economist Bryce Ward looks at the financial impact of Medicaid expansion, identifying savings states have achieved. Overall, expansion reduced what states spend on traditional Medicaid. Moreover, it helps states save on other types of health spending.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - May 6, 2020 Category: International Medicine & Public Health Authors: Bryce Ward Source Type: research

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        (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - May 5, 2020 Category: International Medicine & Public Health Source Type: research

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This special edition of International Health News Brief focuses on innovative approaches the countries that take part in the Commonwealth Fund’s annual international survey have taken in response to the COVID-19 pandemic, including those related to expanding health system capacity, including access to telehealth; addressing social determinants of health; supporting the development of vaccines and treatments; and collecting population data to inform exit strategies.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - May 2, 2020 Category: International Medicine & Public Health Authors: Roosa Tikkanen, Molly FitzGerald, Katharine Fields Source Type: research

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Earlier this week, Germany became one of the first countries to start easing COVID-19 restrictions. That’s because its initial response to the pandemic helped keep the death rate low. Germany: Caught the coronavirus early Does lots of testing Has a robust health care system. As the pressure mounts to reopen economies across the globe, other countries may have something to learn. On this episode of The Dose, Michael Laxy, a health economics researcher at the Helmholtz Center in Munich, talks about the German approach.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - May 2, 2020 Category: International Medicine & Public Health Authors: Shanoor Seervai Source Type: research

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After catastrophic events like hurricanes or wildfires, there are protocols for ensuring people with end-stage renal disease (ESRD) whose lives depend on receiving regular dialysis can still get treatment, often by temporarily moving them to different cities. But our current situation is different; not only is the coronavirus pandemic an ongoing, evolving threat, it puts people with ESRD — who are often elderly, sick, and /or immunocompromised — at great risk as they congregate in dialysis centers.           (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - April 30, 2020 Category: International Medicine & Public Health Authors: Martha Hostetter, Sarah Klein Source Type: research

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        (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - April 29, 2020 Category: International Medicine & Public Health Authors: Martha Hostetter, Sarah Klein Source Type: research

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The COVID-19 pandemic has dramatically changed how outpatient care is delivered in health care practices. To decrease the risk of transmitting the virus to either patients or health care workers within their practice, providers are deferring elective and preventive visits, such as annual physicals. When possible, they also are converting in-person visits to telemedicine visits. For their part, many patients are also avoiding visits because they do not want to leave their homes and become exposed. Also influencing both provider and patient behavior are local and state recommendations restricting travel and nonessential serv...
Source: The Commonwealth Fund: Publications - April 23, 2020 Category: International Medicine & Public Health Authors: Ateev Mehrotra, Michael Chernew, David Linetsky, Hilary Hatch, David Cutler Source Type: research

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        (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - April 23, 2020 Category: International Medicine & Public Health Authors: Maanasa Kona Source Type: research

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The coronavirus pandemic is impacting everyone, but the older you are, the more severe the health consequences. The recommendation is stay home, away from other people. What does that mean for an older person managing a chronic health condition like diabetes who needs to fill an insulin prescription? What about someone who may be used to seeing their grandchildren every weekend, and is not able to because they could be risking their health? On this episode of The Dose, the Commonwealth Fund’s Gretchen Jacobson, vice president of the Medicare program, lays out just how tough COVID-19 has made life for older America...
Source: The Commonwealth Fund: Publications - April 18, 2020 Category: International Medicine & Public Health Authors: Shanoor Seervai Source Type: research

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Analysis of how out-of-pocket spending has changed over time across age, income, and type of insurance finds that, for most people, the Affordable Care Act has reduced the risk of very high spending, but a small percentage of Americans — mostly those with job-based insurance — are getting hit with high costs.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - April 18, 2020 Category: International Medicine & Public Health Authors: Sherry A. Glied, Benjamin Zhu Source Type: research

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The coronavirus pandemic is impacting everyone, but the older you are, the more severe the health consequences. The recommendation is stay home, away from other people. What does that mean for an older person managing a chronic health condition (like diabetes) and needs to fill an insulin prescription? What about someone who may be used to seeing their grandchildren every weekend, and is not able to because they could be risking their health? On this episode of The Dose, the Commonwealth Fund’s Gretchen Jacobson, vice president of the Medicare program, lays out just how tough COVID-19 has made life for older Ameri...
Source: The Commonwealth Fund: Publications - April 18, 2020 Category: International Medicine & Public Health Authors: Shanoor Seervai Source Type: research

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        (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - April 14, 2020 Category: International Medicine & Public Health Authors: David Blumenthal, M.D. Source Type: research

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Researchers analyzed national survey data to gauge the impact on Medicare beneficiaries’ health care use and spending of partnerships with Area Agencies on Aging to provide older adults with access to nutrition, transportation, in-home supports, and social services to enable them to remain independent.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - April 12, 2020 Category: International Medicine & Public Health Authors: Amanda Brewster Source Type: research

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Prescription drug prices could fall significantly under the proposed Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) but how far they could fall would depend on several factors, including choices made in implementing the law and actions taken by drug manufacturers to minimize the reduction in their revenue.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - April 11, 2020 Category: International Medicine & Public Health Authors: Paul B. Ginsburg, Steven M. Lieberman Source Type: research

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        (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - April 11, 2020 Category: International Medicine & Public Health Source Type: research

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There are about 300,000 births every month in the United States. That won’t change as Covid-19 continues its march across the country. Health systems are doing the best they can under immensely difficult circumstances to treat very sick patients, stem the spread of the virus, and keep those on the front lines healthy. Health providers are balancing life-and-death decisions on many levels, from considering universal do-not-intubate or do-not-resuscitate orders for severely ill Covid-19 patients to rationing ventilator care.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - April 11, 2020 Category: International Medicine & Public Health Authors: Laurie Zephyrin, M.D. Source Type: research

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When it takes up its next bill to combat the coronavirus raging across the U.S., Congress should include measures to combat a second epidemic that is spreading in COVID-19’s wake: social isolation.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - April 8, 2020 Category: International Medicine & Public Health Authors: David Blumenthal, M.D., Gretchen Jacobson, Tanya Shah Source Type: research

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Researchers find that combining top-down or national approaches, like changing health care workforce regulations, with local or bottom-up approaches, like empowering local organizations to work together, may be the best way to support innovation in health and social care integration.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - April 8, 2020 Category: International Medicine & Public Health Source Type: research

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Researchers surveyed leaders of the 30 programs to identify the strategies and activities they were using to identify high-need patients, coordinate care, and engage patients and caregivers, discovering many common features, as well as some variation, in how these programs deliver integrated care.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - April 8, 2020 Category: International Medicine & Public Health Source Type: research

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This study identified 23 initiatives in eight countries that have implemented bundled-payment models, providing evidence that bundled-payment models have the potential to reduce medical spending growth while having either a positive impact or no impact on quality of care.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - April 7, 2020 Category: International Medicine & Public Health Authors: Jeroen Struijs, Eline F. de Vries, Caroline A. Baan, Paul F. van Gils, Meredith B. Rosenthal Source Type: research

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        (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - April 5, 2020 Category: International Medicine & Public Health Source Type: research

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When it takes up its next bill to combat the coronavirus raging across the U.S., Congress should include measures to combat a second epidemic that is spreading in COVID-19’s wake: social isolation.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - April 4, 2020 Category: International Medicine & Public Health Authors: David Blumenthal, M.D., Gretchen Jacobson, Tanya Shah Source Type: research

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The coronavirus pandemic is wreaking unprecedented havoc around the globe. So many of us are searching for information to keep ourselves and our loved ones safe – but how do we know whom to trust? On this episode of The Dose, the Commonwealth Fund’s Eric Schneider, M.D., helps us make sense of what we know about COVID-19 so far: We know physical distancing works, even though it is challenging to adapt to this new way of living We don’t know how long we’ll have to adapt — so Dr. Schneider offers some strategies on how to cope with the unknown.       &nb...
Source: The Commonwealth Fund: Publications - April 4, 2020 Category: International Medicine & Public Health Authors: Shanoor Seervai Source Type: research

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Recently introduced legislation aims to simplify the Medicare Part D Rx benefit and create an annual out-of-pocket spending limit. Researchers analyzed the impact of these bills on insulin affordability and say the proposals’ impact on insulin patients’ costs will depend on each Part D plan’s particular benefit design.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - April 3, 2020 Category: International Medicine & Public Health Authors: Stacie B. Dusetzina, Laura M. Keohane Source Type: research

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The U.S. health care system has long been marked by high spending, comparatively poor health outcomes, and waste and inefficiency. To address these issues, the Affordable Care Act (ACA) includes several provisions to reform how the nation organizes, structures, and pays for its health care. The law instituted several mandatory national payment reforms through the Medicare program and created the Center for Medicare and Medicaid Innovation, which was funded with $10 billion over 10 years to develop, test, and promote innovative payment and delivery models. Below is a summary of evidence from some of the major innovations te...
Source: The Commonwealth Fund: Publications - April 2, 2020 Category: International Medicine & Public Health Authors: Corinne Lewis, Melinda K. Abrams, Shanoor Seervai, David Blumenthal, M.D. Source Type: research

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        (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - March 27, 2020 Category: International Medicine & Public Health Authors: Eric C. Schneider, M.D. Source Type: research

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In February 2010, thirteen-month-old Isaac lost his health insurance and the life-sustaining medical equipment that his insurance plan paid for. Born in 2009 with esophageal atresia, Isaac had exhausted his lifetime limit before his second birthday. Six weeks later, the Affordable Care Act became law and Isaac regained coverage that protected him and his family against lifetime maximums. As the ACA reaches its ten-year anniversary, the Supreme Court prepares to hear a case that could strike the federal statute down. In this film, the Commonwealth Fund invites Nancy-Ann DeParle, Chip Kahn, and Julie Rovner to discuss the hi...
Source: The Commonwealth Fund: Publications - March 24, 2020 Category: International Medicine & Public Health Source Type: research

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        (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - March 24, 2020 Category: International Medicine & Public Health Source Type: research

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With the United States in the grips of a pandemic that will surely test our health care system, it’s worth reflecting on how the Affordable Care Act, now deeply woven into the fabric of American health care, came to be.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - March 21, 2020 Category: International Medicine & Public Health Authors: Shanoor Seervai Source Type: research

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        (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - March 21, 2020 Category: International Medicine & Public Health Authors: Sara R. Collins, Munira Z. Gunja, David Blumenthal, M.D., Christopher Hollander, Jennifer Wilson Source Type: research

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What is the current status of ACA innovation waivers for each state?         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - March 17, 2020 Category: International Medicine & Public Health Source Type: research

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        (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - March 14, 2020 Category: International Medicine & Public Health Authors: Sara R. Collins, David Blumenthal, M.D. Source Type: research