The impact of foundation-funded commissions on health policy.

Abstract

National task forces, commissions, and other ad hoc advisory bodies-both public and pr ivate-have been a prominent feature of the American political landscape since the turn of the century. However, studies of their impact on public policy are relatively recent and have focused primarily on presidential commissions. Privately sponsored bodies have received considerably less attention. This essay reports on a study we conducted with the support of The Commonwealth Fund to learn more about the impact of foundation-funded commissions on national health policy decisions. The study had two main objectives: (1) to assess the policy impact of one of Commonwealth’s own recent commissions (the Task Force on Academic Health Centers), and (2) to extrapolate from the specific experiences of the task force and a small comparison group of commissions some practical lessons about the composition, conduct, and impact of such bodies. Because the sponsorship and funding of commissions is but one way foundations seek to influence public policy, our study cannot settle broader arguments about the policy role of foundations. It can, however, provide useful information for foundations and other sponsors about the design and management of ad hoc advisory bodies. Study methods. We defined foundation-funded commission as (1) an ad hoc, task-oriented advisory body, (2) sponsored (that is, established) by a foundation or other private institution or organization, and (3) funded by one or more foundations to deliberate and formulate recommendations on an issue of public policy. We excluded from this definition all governmental commissions (for example, all ad hoc advisory bodies established by executive or legislative mandate or regulation), even