This article analyzes potential barriers in the U.S. to the patient-centered medical home model, which is considered policy shorthand for the reinvention of primary care. Barriers include developing new payment models, personnel and infrastructure funding, and methods to facilitate transforming...

To shed light on the multidimensional issue of health care access, this study identifies nonfinancial barriers to health care uninsured low-income adults in three diverse communities face. It also determines how frequently nonfinancial barriers and financial access barriers coexist in this...

From 2001 to 2008, the Robert Wood Johnson Foundation funded the Economic Research Initiative on the Uninsured (ERIU), housed at the University of Michigan. The goals of ERIU were to increase, diversify, and improve the quality and quantity of economics research on the uninsured, and to...

This issue brief evaluates the effects of a permanent 10 percent increase in Medicare fees for primary care ambulatory visits on Medicare costs. Using a simulation model with real-world parameters, the study found that, in spite of raising the overall cost of primary care visits, such a fee...

Faced with rising uninsurance rates and little response at state or federal levels in recent years, communities have developed many different types of strategies to provide care for uninsured persons. This article profiles local strategies in the Community Tracking Study sites, focusing on...

Since enacting comprehensive health care reform in 2003, Maine's Dirigo Health program has helped expand coverage for low- and moderate-income individuals. By September 2006, about 16,100 individuals were enrolled in two coverage initiatives—DirigoChoice, a subsidized insurance product,...

Responding to concerns about the high and growing number of New Mexicans without health coverage, the state contracted with Mathematica to develop estimates of costs for alternative reform models. This report updates estimates for three of the models to 2010 and provides estimates for a fourth...

Many current health reform proposals focus on universal coverage, insurance reform, and cost control. This brief presents results from studies of the military health system that have timely implications for health care reform. The findings suggest universal coverage with comprehensive health...

This brief found that many proprietors of small businesses were unaware of ACA provisions designed to help small businesses offer health insurance to their employees, often by directly or indirectly reducing the costs of providing coverage. The findings highlight the importance of raising...