The Impact of the New Tax Law on Medicare and Medicaid for Seniors
Annual Medicare spending is expected to double over the next 10 years, as baby boomers age and people live longer on average. And Medicaid will also see greater demand given that it provides coverage to more than 4.6 million low-income seniors. Experts are already concerned about funding these programs — and the tax law passed in late 2017, which is expected to add about $1.5 trillion to the federal deficit, poses new challenges. Federal responses to a ballooning deficit could put the health and financial security of future seniors at stake.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - March 8, 2018 Category: International Medicine & Public Health Authors: The Commonwealth Fund Source Type: podcasts

Why Are U.S. Prescription Drug Prices So High?
In this edition of our New Directions podcast, we look at why prices for some prescription drugs are so high in the United States.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - October 17, 2017 Category: International Medicine & Public Health Authors: The Commonwealth Fund Source Type: podcasts

The Financial Consequences of ACA Repeal
A new Commonwealth Fund podcast explores what repeal of the Affordable Care Act might mean for individuals and for the nation. Leighton Ku of the Center for Health Policy Research at George Washington University discusses his study, which found that 2.6 million jobs would be lost by 2019. And while the insurance industry waits for a possible repeal-and-replace the law, Sabrina Corlette of Georgetown University says uncertainty in the insurance market could lead to fewer plan choices and higher premiums.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - February 15, 2017 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

India ’s Narayana Health: A Model of Efficient, High-Tech Care
India is home to Narayana Health, a chain of specialty care hospitals that delivers state-of-the-art medical services at a fraction of the cost charged here in the U.S. Sandy Hausman interviews Dr. Krishna Udayakumar of Duke University’s Global Health Institute, as well as Chandy Abraham, M.D., CEO of Health City, which offers high-tech, low-cost care in Grand Cayman.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - February 14, 2017 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Brazil's Family Health Strategy
More than 60 percent of Brazil’s 200 million people are served by a model of primary care with community health workers at its center.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - January 27, 2017 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Affordable Mental Health in Kenya
Basic Needs is a mental health program that is establishing self-help groups and changing public attitudes in Kenya and 12 other African and Asian nations. Producer Sandy Hausman interviews its founder as part of our new series on frugal innovations with global implications.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - January 19, 2017 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

A Health Hotline in Mexico
MediCallHome is a subscription-based medical hotline that offers 24/7 to a doctor to resolve your minor medical issues. It's the model for a Spanish-language phone service for employers and consumers north of the border, too.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - January 13, 2017 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Why Workers Continue to Face High Health Costs Despite Slowing Employer Insurance Cost Growth
As the nation debates whether to replace or amend the Affordable Care Act, we’ll look at trends in health insurance provided by employers. Fifty-seven percent of adults under the age of 65 get coverage through their job—a benefit companies have kept since the passage of the ACA.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - December 9, 2016 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Controlling Rising Drug Costs
Prescription drug spending, a significant driver of overall health care costs, has been rising rapidly over the last few years. This episode explores the reasons for higher drug prices, including the introduction of new high-value medications, potentially inefficient research and development, and a lack of price regulation.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - June 23, 2016 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Are Health Care Mergers Good for Consumers?
As more and more health insurers and providers merge, it’s important to look at the potential impact on the cost and quality of health care.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - March 9, 2016 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

State Scorecard Finds Progress in Reducing Hospital Readmissions
What behind the drop in cost hospital readmissions?         (Source: New Directions in Health Care)
Source: New Directions in Health Care - December 9, 2015 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

"Maybe We Could Have Bought Him a Good Pair of Shoes": Why Peer Nations Spend Less on Health Care but Stay Healthier
Greater use of medical technology and pharmaceutical drugs, as well as high prices, all contribute to high U.S. health spending, according to The Commonwealth Fund's latest cross-national spending brief. For this episode, Sandy Hausman interviews coauthor David Squires, who says Americans do not see better health outcomes relative to other wealthy nations as a result. Yale University's Elizabeth Bradley points to the role that social services such as housing play in improving health outcomes in Europe. Transcript available.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - October 8, 2015 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Medicaid's Latest Successes and Challenges
This episode offers an update on Medicaid—how the program has changed under the Affordable Care Act and what reforms we may see in the months and years to come. The Commonwealth Fund's Sara Collins discusses how more and more people are using Medicaid coverage to gain access to affordable care, while George Washington University's Sara Rosenbaum addresses new state Medicaid proposals that call for work requirements and fewer benefits. Transcript available.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - July 15, 2015 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

From Coverage to Care
A new podcast examines what the lack of insurance coverage has meant for racial and ethnic minority groups in this country and how the Affordable Care Act might change that. It also looks at resources designed to educate patients about their health and their coverage.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - May 1, 2015 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Why More Practices Are Merging Behavioral Health and Primary Care
The Affordable Care Act creates new opportunities to integrate behavioral health and primary care. This episode looks at the challenges and benefits of coordinating physical and mental health care through interviews with The University of Washington's Jurgen Unutzer, M.D., The Commonwealth Fund's Pamela Riley, M.D., and Deborah Bachrach, a partner with Manatt, Phelps and Phillips.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - January 30, 2015 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

The Next Generation of Incentives to Help Doctors Improve the Quality and Efficiency of Care
To improve decision-making at the health care provider level, policies that blend financial and non-financial incentives are being developed and tested. A new initiative called Incentives 2.0 is exploring this new type of payment reform. Hear from Anne-Marie Audet, M.D., and Mark Zezza, Ph.D., of the Commonwealth Fund and Kevin Volpp, M.D., Ph.D., of The University of Pennsylvania.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - October 31, 2014 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

How Information Technology Is Changing the Way Health Care Is Delivered
Learn how health IT can dramatically change health care delivery by improving communication and saving time—and can even save lives by providing key information at the right time.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - July 18, 2014 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Making Sure People in Every State Have the Help They Need to Get Covered
Navigators are hired to help the public sign up for and choose a health insurance policy through online exchanges, or marketplaces, established by the Affordable Care Act. But some states have laws or regulations that are making it hard for navigators to perform this important role.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - June 25, 2014 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Looking for Breakthrough Opportunities in Health Care
As the nation moves to provide high-quality care for more people at lower cost, the pressure is on to provide real value. A new Commonwealth Fund program on breakthrough opportunities in health care intends to zoom in on new and unconventional ways of delivering care.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - May 15, 2014 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

A Health Insurance Solution for Small Businesses
About one-quarter of American workers are employed by companies with fewer than 50 people on the payroll, and until now, insurers have charged these employers more for health insurance. In this episode, The Commonwealth Fund's Sara Collins and grantee Jon Gabel explain how the Affordable Care Act has ended that practice, and given employers the ability to offer their workers a choice of affordable plans.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - March 2, 2014 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Investing in the Health Care of Undocumented Workers
The 11 million undocumented immigrants in the United States are excluded from all provisions of the Affordable Care Act. Find out why improving access to care for these workers could benefit all Americans.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - August 15, 2013 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Improving the Way Medicare Pays for Care
Today, Medicare pays health care providers based the number of services they provide, rather than the quality of that care. Sandy Hausman talks with Commonwealth Fund vice president Stuart Guterman and Michael Chernew of Harvard Medical School about how to reform Medicare payment in an effort to control health care spending growth while improving care.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - March 26, 2013 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Shared Decision-Making in Health Care
The use of health care decision aids such as multimedia programs, videos, and even brochures can help patients become more engaged with their care, and lead to better health outcomes and lower health care costs.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - February 7, 2013 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Preventing Unnecessary Hospitalizations for Nursing Home Residents
A promising new program has reduced the number of hospitalizations among nursing home residents, sparing them unnecessary risk and saving significant amounts of money. Learn more about The Commonwealth Fund–supported INTERACT program, which helps nursing home staff identify problems early.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - October 18, 2012 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Understanding the Health Insurance Exchanges: One-Stop Shopping for Affordable Coverage
The new state-based health insurance exchanges, established under the Affordable Care Act, are where individuals, families, and small businesses will be able to buy affordable private health insurance starting in 2014. In this episode, Sandy Hausman interviews experts Sara Collins, Timothy Jost, and Sara Rosenbaum about how the exchanges will work and whom they will help.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - August 13, 2012 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Why Accountable Care Is a Game Changer
"Accountable care is a shift in focus from payment for units of service to payment for taking good care of patients over time," explains The Dartmouth Institute's Elliott Fisher, M.D., in this episode about accountable care organizations, or ACOs. Through interviews with Dr. Fisher and Commonwealth Fund experts, Sandy Hausman explores how ACOs will change the way we think about care and how we pay for it.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - May 18, 2012 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Improving Health Care Across Communities
This episode looks at a new scorecard on local health system performance from The Commonwealth Fund Commission on a High Performance Health System, and how communities can use its data to improve.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - March 14, 2012 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

What Health Reform Means for Safety Net Providers
This podcast examines the implications of the Affordable Care Act for the nation's safety net health care providers, which include clinics and hospitals that serve low-income patients and those who have no insurance.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - January 19, 2012 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Employer-Sponsored Health Insurance Premiums Double but Affordable Care Act to Reverse Trend
Sandy Hausman looks at a new study on state trends for employer-sponsored insurance premiums and deductibles that found a 50 percent increase in premiums between 2003 and 2010, and a 63 percent increase in the employee share of the premium for a family plan. Also discussed are Affordable Care Act provisions that should help lower premiums.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - November 17, 2011 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Dual Eligibles: Coordinating Care for People with Medicare and Medicaid
One of the biggest challenges in health care reform is how to care for people who qualify for both Medicare and Medicaid. This group tends to be sicker, poorer, and more costly than the average person in either program. This episode looks at reducing duplication of care and providing assisted living, among other strategies for helping "dual eligibles" and getting their health care costs under control.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - October 20, 2011 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Scorecard Offers Vision of Improved Long Term Services
The first of 70 million baby boomers turn 65 this year, and long-term services and supports (LTSS), which include home care, assisted living, and nursing home care, are on the rise. To help states identify gaps, AARP’s Public Policy Institute, The Commonwealth Fund, and The SCAN Foundation, developed the first state LTSS scorecard.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - September 7, 2011 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Patient Compensation for Medical Injuries: International Approaches
In the U.S., the complex process of seeking compensation for medical injuries makes it difficult for patients to receive compensation, and fear of lawsuits leads to defensive medicine. This episode looks at countries like New Zealand, which separate patient compensation and issues of medical malpractice.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - July 14, 2011 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Health Reform —Opportunities and Challenges for Providers
Relatively little attention has been paid to the ways the health reform law seeks to strengthen the delivery system. This episode addresses how provisions to improve transparency, encourage more organized care, and promote payment reform affect those on the frontlines.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - June 13, 2011 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Health Reform—Opportunities and Challenges for Providers
Relatively little attention has been paid to the ways the health reform law seeks to strengthen the delivery system. This episode addresses how provisions to improve transparency, encourage more organized care, and promote payment reform affect those on the frontlines.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - June 13, 2011 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Covering and Caring for Kids
This episode focuses on a new report evaluating how well the nation cares for its kids. Producer Sandy Hausman explores why children's coverage has improved in 35 states despite the recession, what states can learn from each other, and how health reform can help.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - February 2, 2011 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Transparency in Health Care
Americans usually know what they can expect to pay for products—and most understand that you get what you pay for—but when it comes to health care, that's not the case. This episode looks at how sharing information about quality and costs with the public, payers, and health care professionals may change the way health care is delivered.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - January 18, 2011 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Transforming Safety Net Clinics into Medical Homes
Sandy Hausman reports on the Safety Net Medical Home Initiative, a Commonwealth Fund-supported demonstration project designed to help clinics that serve low-income patients become medical homes.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - October 21, 2010 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Sharing Resources to Improve Care
Today, many primary care practices are sharing clinical and technical services with other providers so that they can become certified medical homes, which provide patients with coordinated, around-the-clock care. In Massachusetts, 95 percent of pediatric practices rely on the Child Psychiatry Access Project for guidance in mental health care.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - August 19, 2010 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

How the U.S. Health System Stacks Up
Commonwealth Fund president Karen Davis discusses how the Affordable Care Act might improve U.S. health system performance relative to six other industrialized countries surveyed by The Commonwealth Fund.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - June 23, 2010 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

How Will Community Health Centers Fare Under Health Reform?
This episode of the New Directions in Health Care series looks at the findings from a survey of federally qualified health centers. Community health centers are the core of the ambulatory care safety net—serving some 16 million Americans, regardless of their ability to pay.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - May 27, 2010 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Health Care Abroad and Reform at Home —Controlling Health Care Costs
This episode of the New Directions in Health Care series looks at the costs of providing medical services in other parts of the world and considers how health care reform might change the bottom line in this country. It explores ways in which proposed health reforms in Congress—such as an emphasis on primary care and new approaches to delivery and payment—could help ensure value for our health care dollars.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - March 17, 2010 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Health Care Abroad and Reform at Home—Controlling Health Care Costs
This episode of the New Directions in Health Care series looks at the costs of providing medical services in other parts of the world and considers how health care reform might change the bottom line in this country. It explores ways in which proposed health reforms in Congress—such as an emphasis on primary care and new approaches to delivery and payment—could help ensure value for our health care dollars.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - March 17, 2010 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Rebuilding Primary Care in New Orleans
After Hurricane Katrina, New Orleans had "an unprecedented opportunity to redefine its health system." This episode looks at the network of safety-net clinics that was created following the disaster, and how many of these clinics have become medical homes that provide coordinated, accessible, and affordable primary care.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - February 1, 2010 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Health Reform in Massachusetts: Lessons for the Nation
It's been three years since Massachusetts implemented sweeping health reform. In this episode, Sandy Hausman looks at how satisfied consumers, employers, and physicians are with the new system. Key players also discuss how a good public education campaign and a general spirit of cooperation contributed to the program's success.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - December 1, 2009 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Changing the Culture of Nursing Homes Through Regulation
Over the last 20 years, the quality of life and care in nursing homes has improved dramatically. But some experts say federal and state regulations of nursing homes can get in the way of these important changes, if caregivers and home operators see surveyors—who visit homes to make sure they are complying with standards—as the enemy. A new Commonwealth Fund report suggests that state inspectors could, in fact, be agents of change.         (Source: New Directions in Health Care)
Source: New Directions in Health Care - October 8, 2009 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Keeping Young Adults Insured
More than 13.2 million young adults in the U.S. have no health insurance coverage, finds a Commonwealth Fund study. While many young adults are healthy, this age group is in need of preventive care for the chronic conditions so many Americans develop. Learn how federal and state policies can help keep young people insured.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - August 6, 2009 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Help for Health Care Providers Putting Policy into Practice
Given the tightly packed schedules of health care providers, there can be a lag time of as long as a decade in getting national recommendations into practice. Public-private improvement partnerships, a concept developed with Commonwealth Fund support by the Vermont Child Health Improvement Program, provide regional training, site visits, and more, to help with the process of change.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - July 16, 2009 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Reducing Rehospitalizations: New Initiative Addresses Readmissions as a Community Problem
Being discharged from the hospital is something most patients eagerly anticipate, but many patients find themselves back in the hospital far too soon. A new Commonwealth Fund-supported initiative administered by the Institute for Healthcare Improvement called STAAR--State Action on Avoidable Rehospitalization--is a multi-state, multi-stakeholder collaborative that aims to reduce rehospitalization rates by 30 percent.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - June 17, 2009 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Why Women Aren't Getting the Health Care They Need
Women are disproportionately affected by health care costs, according to a new Commonwealth Fund study. The study authors say that medical debt--which affects women across all income levels--is forcing many women to skip care or make other sacrifices.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - May 11, 2009 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts

Health IT in Hospitals: How It Can Help
In this episode, producer Sandy Hausman visits a V.A. hospital in Virginia to see how electronic record keeping has improved quality on almost every measure of care. She also talks with the author of a Commonwealth Fund-supported study that provided crucial evidence linking health information technology, such as automated order entry, notes and decision-support, with lower mortality rates as well as lower costs.        (Source: New Directions in Health Care)
Source: New Directions in Health Care - April 7, 2009 Category: Global & Universal Authors: The Commonwealth Fund Source Type: podcasts