This study examined providers' efforts to improve care delivery, similar to those likely to be encouraged under ACOs. Common challenges for affiliated health care organizations’ efforts to improve care are establishing a business case for change and implementing changes with minimal disruption...

This brief, developed by staff at Mathematica and the Kaiser Family Foundation, looks at efforts by a number of states to set up accountable care organizations (ACOs) within their Medicaid programs. The analysis reveals that many initiatives are in a very early stage of development. Medicaid's...

This brief describes the importance of different care coordination activities in improving patient outcomes. It also explores ways that the patient-centered medical home and accountable care organizations can coordinate care.

By their nature, advocacy organizations form partnerships and alliances with others to achieve their public policy goals. Some alliances are longstanding, while others are temporary or opportunistic and may bring together groups to support a particular legislative or administrative approach or...

Analyzes the effect of shrinking managed care benefits on enrollees by examining trends in estimated out-of-pocket costs. Those in poor health not only paid more than those in good health; they also experienced the highest growth in out-of-pocket costs—62 percent—in the three-year...

This article considers the effect of changing household wealth on changes in utilization.

This article considers differences in dental use by wealth levels across households.