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As noted in the Institute of Medicine’s seminal report Crossing the Quality Chasm: A New Health System for the 21st Century, “health care today harms too frequently and routinely fails to deliver its potential benefits.” For over a decade, foundations have been showcasing to the field that improving health care quality is both needed and possible. GIH recognizes that this work is now an integral part of the health reform law and that bridging the “quality chasm” will require change at all levels of our health care system.

Contact Ann McMillan for more information about our programming in this area.

Issue Spotlight

December 2017

Although the federal rules and funding for Medicaid may change, the larger trends driving its payers and providers to innovate will persist. In particular, the demand for emerging technologies that increase access and improve value will remain high. This is especially true in California, which has deeply committed to expanding coverage and widely embraced the shift to managed care. The California HealthCare Foundation has compiled resources to bridge the gap between safety-net stakeholders, who best know the needs of the Medicaid market, and innovators, who can offer scalable solutions that have impact.

December 2017

This new publication highlights Commonwealth Fund–supported focus groups and individual interviews that describe barriers to health care. This is the first in a “Listening to Low-Income Patients” series that will draw on this qualitative research to describe, in patients’ own words, different issues that impact their health such as quality of health care, community, and mental health and addiction. In this piece, we share low-income patients’ accounts of common challenges faced when trying to obtain care — the high cost of care, finding a convenient time to go to the doctor, poor experiences with care, and a lack of trust in the health care system — as well as patients’ recommended practical solutions.

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