The Commonwealth Fund

Beyond Maternal Mortality: How Severe Morbidity Reveals Policy Gaps in Maternal Care

This brief presents updated estimates of severe maternal morbidity overall and across demographic and geographic ...
The Commonwealth FundOpinion

The Trump Administration’s New ACA Marketplace Rule Gives Insurance Companies Flexibility and Consumers Red Tape

The Trump Administration’s New ACA Marketplace Rule Gives Insurance Companies Flexibility and Consumers Red Tape. Medical ...
Commonwealth Fund

Massachusetts Health Care Reform--On Second Anniversary of Passage, What Progress Has Been Made?

Please take a moment to answer this six-question survey to help us improve the States in Action newsletter. We appreciate and welcome your feedback. Massachusetts' passage of health care reform ...
Commonwealth Fund

Medicaid Pay-for-Performance: Ongoing Challenges, New Opportunities

Please take a moment to answer this six-question survey to help us improve the States in Action newsletter. We appreciate and welcome your feedback. Summary: With pay-for-performance (P4P) programs ...
Commonwealth Fund

The Health Reform Calculator: Estimating Changes in Coverage and Costs

A new report from the Urban Institute and the Commonwealth Fund, Comparing Health Insurance Reform Options: From "Building on the ACA" to Single Payer, estimates the impact of eight health care reform ...
Commonwealth Fund

H.R. 1 Funding Cuts Will Overshadow Gains from the New Rural Health Transformation Program

Our colleague and coauthor, Professor Joseph Cordes, a noted economist and a budget and tax expert, passed away in February 2026. Issue: The 2025 budget reconciliation law (the One Big Beautiful Bill ...
Commonwealth Fund

How Health Insurance Coverage Denials Affect Americans

Findings from the Commonwealth Fund 2025 Affordability Survey and Focus Groups U.S. adults with private insurance are anxious and frustrated about getting and paying for the care they need through ...
Commonwealth Fund

Emerging State Data Paint a Bleak Picture of 2026 Marketplace Enrollment

In 2025, enrollment in the Affordable Care Act (ACA) marketplaces rose to an all-time high of 24 million. This was double the enrollment figure from four years prior, with the increase largely due to ...
Commonwealth Fund

Strengthening Postpartum Care and Supporting Community Birthing Can Make Maternal Health Care More Equitable

International comparisons show that the United States lags other high-income nations on core maternal health measures like the size and composition of the perinatal workforce (i.e., clinical and ...
Commonwealth Fund

New Federal Vaccine Recommendations Introduce Ambiguity and Could Lead to Coverage Headaches

Over the past year, Secretary of Health and Human Services (HHS) Robert F. Kennedy Jr. fully replaced members of the Advisory Committee on Immunization Practices (ACIP), with significant consequences ...
Commonwealth Fund

Making Health Care Affordable

The United States spends nearly double what many other high-income countries spend on health care. Even so, health outcomes for Americans are often worse, and evidence of waste and inefficiency ...