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The Commonwealth Fund

@commonwealthfund.org
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Affordable, quality health care. For everyone. About Us: buff.ly/3PTPkDt

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Center for Health Care Strategies @chcshealth.bsky.social · 24/09/2026
For states implementing federal Medicaid work requirements, engaging members and community orgs can help reduce the risk of unnecessary coverage loss. This CHCS tipsheet highlights practical strategies. bit.ly/4jcdAiY
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From Input to Implementation: Engaging Medicaid Members and Community Partners in Work Requirements Rollout - Center for Health Care Strategies
This tipsheet highlights practical strategies for engaging Medicaid members and CBOs to inform outreach and communications strategies, support implementation decisions, and promote continuous improvem...
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Reposted by The Commonwealth Fund
SSRS @ssrsresearch.bsky.social · 13/08/2026
In a new survey, @commonwealthfund.org asked people to identify the most important problems in the health care system and who should be best able to solve them. With survey partners SSRS, The Fund interviewed over 25,000 U.S. adults in May 2026. www.commonwealthfund.org/blog/2026/wh...
commonwealthfund.org
What Americans Want Fixed in Health Care and Who Should Do It
Respondents to a survey of U.S. adults, regardless of their political party, ranked the high cost of health insurance and health care as top concerns, regardless of their political party.
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Reposted by The Commonwealth Fund
Primary Care Collaborative @thepcc.org · 13/08/2026
"Americans across the political spectrum are united in their struggle to afford the cost of health insurance and health care." More details in a new survey from @commonwealthfund.org ⬇️ www.commonwealthfund.org/blog/2026/wh...
commonwealthfund.org
What Americans Want Fixed in Health Care and Who Should Do It
Respondents to a survey of U.S. adults, regardless of their political party, ranked the high cost of health insurance and health care as top concerns, regardless of their political party.
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Reposted by The Commonwealth Fund
Grantmakers In Health @gihealth.bsky.social · 22/07/2026
July is Disability Pride Month, recognizing the ADA's anniversary and celebrating people with disabilities. Yet many people with disabilities still face barriers to equitable health care. A new VFF from @commonwealthfund.org describes how funders can help address these challenges 👇
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Strengthening Health Care Access for People with Disabilities: Lessons for Philanthropy - Grantmakers In Health
In July, we recognize Disability Pride Month, marking the anniversary of the landmark Americans with Disabilities Act (ADA) and celebrating the contributions and diverse identities of people with…
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Jalisa Clark @jalisahealth.bsky.social · 09/06/2026
*NEW* The loss of enhanced premium tax credits resulted in people canceling coverage and in many shifting to lower-cost plans; for instance, the share of people enrolled in bronze-tier plans increased from 30 percent to 40 percent @commonwealthfund.org
Bar graph showing a greater decrease in enrollment between OEP and April for 2026 compared to 2025 for Arkansas, Colorado, Maryland, Massachusetts, New Mexico, and New York
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Whitney Zahnd @whitneyzahnd.bsky.social · 10/06/2026
"Overall, there will be 1.65 million fewer jobs in 2029 — almost half of which will be in health care — roughly equivalent to a 1.0 percentage point reduction in the national employment rate." - @commonwealthfund.org www.commonwealthfund.org/publications...
commonwealthfund.org
H.R. 1 Funding Cuts Will Overshadow Gains from the New Rural Health Transformation Program
It is predicted that the Rural Health Transformation Program’s modest economic gains will be overshadowed by losses from H.R. 1’s budgetary cutbacks.
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Primary Care Collaborative @thepcc.org · 14/05/2026
A great analysis from @commonwealthfund.org President @jbetancourtpr.bsky.social. Give the short video a watch! ⬇️ www.linkedin.com/posts/primar...
linkedin.com
Primary Care vs. Urgent Care | The Commonwealth Fund
Where should you go when you’re sick? The Commonwealth Fund's President Joseph Betancourt, M.D. breaks down the differences between #primarycare, urgent care, and the emergency room. He warns that ...
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JAWS (Journalism & Women Symposium) @womenjournos.bsky.social · 12/05/2026
Congratulations to Ashley Moss for publishing her first story as part of the #JAWS Health Journalism Fellowship! The fellowship is made possible by the generosity of the @commonwealthfund.org www.louisianafirstnews.com/news/louisia...
louisianafirstnews.com
Addressing disparities in maternal, child health outcomes
Louisiana is addressing the maternal and child health crisis by offering coverage for doula services, which provide support to mothers during pregnancy, labor and delivery.
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Reposted by The Commonwealth Fund
The Health Foundation @healthfoundation.bsky.social · 13/05/2026
Interested in becoming a Harkness Fellow? @commonwealthfund.org​ is hosting a virtual information session on the Harkness Fellowship 2027–28 on Thursday 14 May, 18.00 – 19.00. Register to learn more ⬇️
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Harkness Fellowships | Information Session Registration
To register, select an information session below and click the "Register" button (you will receive Zoom details via email). If you are not able to attend live please register and we will share a recording after the session.
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Healthbeat @healthbeat.org · 30/04/2026
A new report from @commonwealthfund.org ranks Georgia 48th in the nation for Hispanic health care, with high rates of uninsured adults and children.
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The Lund Report @thelundreport.bsky.social · 01/05/2026
Health care lags for people of color across Oregon, but the disparities are far worse for Native American residents, according to a new state-by-state comparison issued by researchers for @commonwealthfund.org.
thelundreport.org
Health care lags for Black, Hispanic and Native American Oregonians
Disparities in Oregon are far worse for Native American residents, according to a new state-by-state comparison issued by researchers for the Commonwealth Fund
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The Commonwealth Fund @commonwealthfund.org · 17/04/2026
Many patients, when they have a new symptom, search the internet before calling a doctor. For this reason, Doctor Mike argues the medical community needs to be present on the social web, to translate knowledge for the people seeking it. Full story on The Dose podcast w/ @joelbervell.bsky.social ⤵️
thedose.show
Doctor Mike on Why Ceding the Internet Is a Public Health Threat
On The Dose podcast, Doctor Mike argues the medical community needs to be present on the social web, to translate knowledge for the people seeking it.
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Reposted by The Commonwealth Fund
Akeiisa Coleman @acinthedc.bsky.social · 15/04/2026
New piece in Health Affairs highlights the importance of notices with clear language as states move forward in implementing #Medicaid work requirements www.healthaffairs.org/content/fore... #healthpolicy
healthaffairs.org
As States Implement Medicaid Community Engagement Requirements, Due Process Safeguards Loom Large | Health Affairs Forefront
We begin with a discussion of OBBBA’s community engagement requirements and their impact on the eligibility determination process. We then turn to a recently decided case that underscores the importan...
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AcademyHealth @academyhealth.bsky.social · 09/04/2026
Last call! Applications close April 10 at 5:00 p.m. ET for the AcademyHealth + @commonwealthfund.org student scholarship for #ARM2026 international health policy programming. Registration + travel support available. Don't miss this chance to connect in Seattle on May 30. Apply: buff.ly/8raIEuJ
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Reposted by The Commonwealth Fund
Akeiisa Coleman @acinthedc.bsky.social · 20/03/2026
Member engagement is critical as states design new Medicaid work requirements. CHCS’ new collaborative, with support from the @commonwealthfund.org, will help states elevate member voices and reduce unintended coverage loss. Learn more and apply: bit.ly/4lAtD9F #Medicaid #WorkRequirement
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Advancing Effective Work Requirements Implementation via Member Engagement and Outreach - Center for Health Care Strategies
The 2025 budget reconciliation act (P.L. 119-21) directs state Medicaid agencies to implement work requirements — also referred to as community engagement requirements — for some Medicaid enrollees by...
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Reposted by The Commonwealth Fund
Primary Care Collaborative @thepcc.org · 11/03/2026
How we pay for primary care shapes how care is delivered. A new @commonwealthfund.org article examines why fee-for-service holds primary care back and what physicians say needs to change. Read more:
linkedin.com
LinkedIn Pulse
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Reposted by The Commonwealth Fund
Rhode Island Current @rhodeislandcurrent.com · 11/02/2026
New @commonwealthfund.org analysis finds premium contributions and deductibles for family health insurance plans totaled 10% or more of the median household income in 19 states in 2024. The calculation did not include copayments. Via @stateline.org rhodeislandcurrent.com/2026/02/11/r...
rhodeislandcurrent.com
Many middle-income families spend at least a tenth of their income on health insurance • Rhode Island Current
More than half of working-age adults get their health insurance through an employer, but in many states premium contributions and deductibles take a significant bite out of household incomes. A new an...
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Edwin Park @edwincpark.bsky.social · 09/02/2026
From @commonwealthfund.org Why Rural Hospitals Are Facing a Funding Crisis — and How It Could Get Worse www.commonwealthfund.org/publications...
commonwealthfund.org
Why Rural Hospitals Are Facing a Funding Crisis — and How It Could Get Worse
Since 2005, nearly 200 rural hospitals have completely or partially closed, and over 400 — more than 20 percent of rural hospitals — are at risk of closure.
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Reposted by The Commonwealth Fund
Bailit Health @bailithealth.bsky.social · 22/01/2026
States are tackling unfair and excessive hospital prices. Our blog post for @commonwealthfund.org outlines 2025 actions in Indiana, Vermont, New Mexico, and Washington. bit.ly/2026-0114-af...
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Affordability Concerns Are Driving States to Curb Hospital Prices
States are developing proposals for the 2026 and 2027 legislative sessions aimed at reining in excessive hospital prices and price growth.
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The Commonwealth Fund @commonwealthfund.org · 12/01/2026
As Medicaid work requirements take effect in 2027, it’s unclear how states will determine who qualifies as medically frail and exempt from the rules.
commonwealthfund.org
Medical Frailty Exemptions Will Help with Medicaid Work Requirements
Medical frailty policies will allow people with disabilities and chronic illnesses to be exempted from work reporting requirements and stay enrolled in Medicaid.
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The Commonwealth Fund @commonwealthfund.org · 07/01/2026
Drug prices continue to be a top concern for #Medicare beneficiaries, with one of five saying they use discount websites like GoodRx or Amazon, instead of their prescription drug plan.
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What the Decline in Medicare Part D Plan Availability Means
Fewer standalone Rx plans in traditional Medicare raises questions about whether beneficiaries will have choices that align with health needs and budgets.
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The Commonwealth Fund @commonwealthfund.org · 06/01/2026
🚨 Today at 12PM ET! "Decoding the Moment: The $50 Billion #RuralHealth Program in Context" Join @tradeoffs.org and @pennldi.bsky.social for this virtual event exploring the #healthcare challenges facing rural America, the evidence-based solutions, and more. #powerofrural
tradeoffs.org
Decoding the Moment: The $50 Billion Rural Health Program in Context
Discussing the challenges facing health care access in rural America, evidence-based solutions to those issues, and how states and the federal government are looking to use the RHTF.
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The Commonwealth Fund @commonwealthfund.org · 06/01/2026
Federal programs play a critical role in whether people can get contraceptive care, and states can shape how well those programs work. A new analysis outlines paths states can take and what’s at risk if funding is cut. bit.ly/3Y2mmV6
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An Overview of Federally Funded Contraceptive Programs
With sufficient funding, states can utilize Medicaid SPAs and Section 1115 waivers, MCO contracts, and Title X grants to expand access to contraceptives.
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The Commonwealth Fund @commonwealthfund.org · 05/01/2026
Bright spots in rural communities illuminate ways to expand primary care. From mobile clinics and telehealth to community health workers, smart investments and rural-specific solutions can help make sure your zip code doesn't determine the care you get. bit.ly/44B2YlJ
commonwealthfund.org
The State of Rural Primary Care in the United States
Rural Americans face significant barriers to accessing adequate primary care; tailored federal and state programs can help address some of these challenges.
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Reposted by The Commonwealth Fund
PennLDI @pennldi.bsky.social · 05/01/2026
🔴 Decoding the Moment: The $50 Billion #RuralHealthProgram in Context 🔴 🗓️ Tomorrow, Jan 6 @ 12pm ET Expert virtual discussion, co-hosted w/ @tradeoffs.org ➡️ REGISTER HERE: bit.ly/4964AXd
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The Commonwealth Fund @commonwealthfund.org · 31/12/2025
Let's make a resolution to both protect innovation and lower drug costs as we wrap this year. Smart patent reforms can curb abuse, speed generic competition, and make lifesaving medicines more affordable, without cutting corners on safety or science.
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The Commonwealth Fund @commonwealthfund.org · 30/12/2025
Historically, we’ve underinvested in primary care, especially in rural America. Now, rural Americans contend with doctor shortages, long drives for care, and ERs filling gaps they weren't meant to fill. These problems won’t fix themselves. Show of hands: who is committed to this work in 2026?
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The State of Rural Primary Care in the United States
Rural Americans face significant barriers to accessing adequate primary care; tailored federal and state programs can help address some of these challenges.
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The Commonwealth Fund @commonwealthfund.org · 29/12/2025
The average number of standalone prescription drug plans has declined by nearly two-thirds since 2021. Will Medicare beneficiaries still have choices that align with their health care needs and household budgets?
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What the Decline in Medicare Part D Plan Availability Means
Fewer standalone Rx plans in traditional Medicare raises questions about whether beneficiaries will have choices that align with health needs and budgets.
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The Commonwealth Fund @commonwealthfund.org · 25/12/2025
Recent changes to federal preventive care and vaccine recommendations have raised concerns about their credibility, and states are looking for ways to keep science-backed services available to their residents. bit.ly/4pKZxkQ
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States Are Preserving Recommendations Preventive Care, Vaccines
Amid concern about credibility of recent federal vaccine recommendations, states are exploring how to protect access to scientifically backed services.
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The Commonwealth Fund @commonwealthfund.org · 24/12/2025
We know making health coverage affordable works to keep people insured, support local economies, and strengthen our care systems. Choosing to let premium subsidies expire risks major disruptions to the marketplaces that will be difficult to overcome, despite having been easy to avoid. bit.ly/4ajXsaT
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Expiring ACA Premium Tax Credits Could Lead to Nearly 340,000 Jobs Lost Across the U.S. in 2026
Unless Congress acts quickly to extend the enhanced ACA marketplace premium tax credits, nearly 5 million people could lose health insurance coverage in 2026.
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The Commonwealth Fund @commonwealthfund.org · 23/12/2025
Choice works best when people understand their options. Evidence shows simpler, standardized health plans protect consumers & lower costs, without limiting real options. If we want to build a health system people can trust, we need clear rules, fair choices, and coverage that does what it promises.
commonwealthfund.org
Lessons from the ACA: Simplifying Choices to Optimize Health Coverage
Additional standards in the Affordable Care Act for plan design, marketing, and enrollment could improve consumer satisfaction and health care affordability.
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The Commonwealth Fund @commonwealthfund.org · 22/12/2025
Gaps in contraceptive access persist across the U.S. — and federal funding cuts could make them worse. Full report:
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An Overview of Federally Funded Contraceptive Programs
With sufficient funding, states can utilize Medicaid SPAs and Section 1115 waivers, MCO contracts, and Title X grants to expand access to contraceptives.
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The Commonwealth Fund @commonwealthfund.org · 18/12/2025
Let’s be clear: the enhanced ACA tax credits worked. They helped millions afford coverage and kept uninsured rates down. Now, as they near expiration, nearly 5 million people could lose coverage, while jobs vanish and economic stability emerges.
commonwealthfund.org
Expiring ACA Premium Tax Credits Could Lead to Nearly 340,000 Jobs Lost Across the U.S. in 2026
Unless Congress acts quickly to extend the enhanced ACA marketplace premium tax credits, nearly 5 million people could lose health insurance coverage in 2026.
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The Commonwealth Fund @commonwealthfund.org · 16/12/2025
🛜 Telehealth is expanding across the country, but not evenly. Nationally, 29% of adults have received primary care via telehealth, compared to only 19% in rural areas. More here: bit.ly/3Xie1we
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The Commonwealth Fund @commonwealthfund.org · 12/12/2025
Prescription drug prices in the United States are higher than in other countries; one contributing factor is the number of patents some drugmakers file to maintain monopolies on their brand-name drugs. bit.ly/4rgHXql
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The Commonwealth Fund @commonwealthfund.org · 11/12/2025
43% of U.S. primary care physicians report burnout — one of the highest rates in a new 10-country survey. The report explores what’s driving it and how to better support clinicians. bit.ly/3LYwb3A
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The Commonwealth Fund @commonwealthfund.org · 04/12/2025
Why primary care physicians report burnout varies by country: 🗂️ Administrative burden (top reason in the U.S.) 🏥 Patient load & complexity (higher in Sweden) 😞 Feeling undervalued (more common in the U.K. & Australia)
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The Causes and Impacts of Burnout Among Primary Care Physicians in 10 Countries
This survey brief examines factors contributing to burnout among primary care physicians in 10 countries and strategies to combat it and improve system performance.
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The Commonwealth Fund @commonwealthfund.org · 03/12/2025
New analysis on rural primary care finds: 🏥 Demand for rural primary care physicians is projected to exceed supply by 2037 🚑 Nearly 1 in 4 rural adults used the ER for needs that could be treated in primary care 💻 Only 19% received primary care via telehealth, compared to 29% nationally Details ⤵️
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The State of Rural Primary Care in the United States
Rural Americans face significant barriers to accessing adequate primary care; tailored federal and state programs can help address some of these challenges.
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The Commonwealth Fund @commonwealthfund.org · 02/12/2025
Today at 11 AM PT! 🎙️ Live Webinar: The Coming Revolution: Equity in the Age of AI 🔗 Register Here: bit.ly/RegEquityAgeofAI
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Reposted by The Commonwealth Fund
USC Center for Health Journalism @chjreportinghealth.bsky.social · 01/12/2025
Join Dr. Joseph Betancourt, president of @commonwealthfund.org, Dr. Tina Hernandez-Boussard, professor of medicine at @stanforduniversity.bsky.social, and @katiepalmer.bsky.social, health tech correspondent at @statnews.com... (1/2)
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The Commonwealth Fund @commonwealthfund.org · 02/12/2025
From “patent thickets” to “product hopping,” drugmakers have developed a host of strategies for blocking competition. Learn how some policymakers are hoping to stop patent abuse and end the drug monopolies that lead to high prices.
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How Drugmakers Use the Patent Process to Keep Prices High
Patent reforms could address a problem that’s been driving rising prescription drug costs and create a more competitive pharmaceutical market.
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The Commonwealth Fund @commonwealthfund.org · 01/12/2025
A proactive approach to implementing the behavioral health exemption to work requirements can help minimize impacts for Medicaid enrollees, the behavioral health crisis, and related long-term costs.
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How Will States Implement the Behavioral Health Exemption to Medicaid Work Requirements?
A proactive approach to implementing the behavioral health exemption to work requirements can help minimize impacts for Medicaid enrollees.
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The Commonwealth Fund @commonwealthfund.org · 28/11/2025
🩺 New international survey of primary care physicians: U.S. doctors report some of the highest burnout rates among 10 high-income countries. Some countries are streamlining administrative tasks and supporting clinician well-being, offering lessons for U.S. leaders. bit.ly/3LYwb3A
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The Commonwealth Fund @commonwealthfund.org · 26/11/2025
The Orphan Drug Act has helped spur the development of drugs targeting rare diseases for which no treatment exists, but the law’s loopholes have impeded further progress since the law’s enactment in 1983.
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Revisiting the Orphan Drug Act
The Orphan Drug Act has catalyzed innovation in rare disease treatments, but the law’s shortcomings — particularly around pricing — have prompted calls for reform.
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The Commonwealth Fund @commonwealthfund.org · 25/11/2025
During a time of national #mentalhealth and substance use crises, how can states ensure consistent coverage for people with behavioral health conditions?
commonwealthfund.org
How Will States Implement the Behavioral Health Exemption to Medicaid Work Requirements?
A proactive approach to implementing the behavioral health exemption to work requirements can help minimize impacts for Medicaid enrollees.
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Reposted by The Commonwealth Fund
Primary Care Collaborative @thepcc.org · 20/11/2025
Rural Americans face significant obstacles when it comes to accessing comprehensive primary care, from clinician shortages to cost. @commonwealthfund.org dives headfirst into this widespread problem and proposes solutions in a new publication. ⬇️ www.commonwealthfund.org/publications...
commonwealthfund.org
The State of Rural Primary Care in the United States
Rural Americans face significant barriers to accessing adequate primary care; tailored federal and state programs can help address some of these challenges.
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The Commonwealth Fund @commonwealthfund.org · 20/11/2025
💪 #RuralHealth Care Has Heart & Grit In rural communities across the U.S., we see health systems under strain, but we also see them innovating, adapting, and leading. Today, we’re spotlighting how rural providers and communities are rising to face their unique set of challenges. #RuralHealthWeek
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The Commonwealth Fund @commonwealthfund.org · 18/11/2025
💸 $900 Billion in Medicaid Cuts, $50 Billion in Relief for Rural Health Systems With the passage of H.R. 1, rural health care faces both a threat and a test. The law slashes $900 billion from Medicaid—the largest cut in the program’s history—hitting rural hospitals and providers especially hard.
commonwealthfund.org
How States Can Access New Federal Funds to Improve Care in Rural Communities
States can use funds from H.R. 1’s Rural Health Transformation Program to invest in initiatives that could improve health care delivery for rural patients.
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Reposted by The Commonwealth Fund
Whitney Zahnd @whitneyzahnd.bsky.social · 17/11/2025
"Forty-three million people live in rural areas with primary care health professional shortages."
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Reposted by The Commonwealth Fund
Wisconsin Examiner @wisconsinexaminer.com · 18/11/2025
Shortage of rural doctors won’t end anytime soon, @commonwealthfund.org report says. @nhassanein.bsky.social of @stateline.org has the details. wisconsinexaminer.com/2025/11/18/r...
wisconsinexaminer.com
Shortage of rural doctors won’t end anytime soon, report says • Wisconsin Examiner
For the next dozen years, rural areas will have only about two-thirds of the primary care physicians they need, according to a new eport
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