A new strategy report released by the Commonwealth Fund Commission on a High Performance Health System aims to create a roadmap for improving care to the uninsured, minorities and people with low incomes.

The 17-member commission, which seeks opportunities to change the delivery and financing of healthcare, recommends three broad strategies for achieving that improved care in the 50-page report, Ensuring Equity: A Post-Reform Framework to Achieve High Performance Health Care for Vulnerable Populations. The commission's recommendations aim to: ensure the stability of the safety net and stimulate higher performance; strengthen care-delivery systems for vulnerable populations; and coordinate healthcare delivery systems with public health services and other community resources.

“Our current economic situation has increased the number and proportion of people who are vulnerable, leaving even more families at risk of suffering from our healthcare system's inequities,” said Dr. David Blumenthal, chairman of the commission, and Samuel Their, professor of medicine and professor of health care policy at Massachusetts General Hospital/Partners HealthCare System and Harvard Medical School, Boston, in a news release.