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

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

The State of Health Insurance Coverage in the U.S.

An estimated 26 million Americans, or 8 percent of the U.S. population, lacked health insurance in 2023. 1 While the United States still lags countries that have universal coverage, today’s uninsured ...
Commonwealth Fund

Insights into the U.S. Maternal Mortality Crisis: An International Comparison

The United States continues to have the highest rate of maternal deaths of any high-income nation, despite a decline since the COVID-19 pandemic. And within the U.S., the rate is by far the highest ...
Commonwealth Fund

Tackling High Health Care Prices: A Look at Four Purchaser-Led Efforts

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. In some regions, employers ...
Commonwealth Fund

U.S. Health Care from a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes

In the previous edition of U.S. Health Care from a Global Perspective, we reported that people in the United States experience the worst health outcomes overall of any high-income nation. 1 Americans ...
Commonwealth Fund

Reducing Medicaid Churn: Policies to Promote Stable Health Coverage and Access to Care

Medicaid is an essential source of health coverage for one in five Americans, providing access to care for low-income families, communities of color, people with disabilities, and other underserved ...