Rising health care costs are putting financial pressure on all tiers of government, as well as businesses and individuals. While the rate of health spending growth has slowed in recent years, policymakers are looking for long-term solutions. Over the past year, several prominent groups have proposed policy options to contain costs and transform the health care delivery system. Even though these organizations represent a variety of perspectives, there are substantial areas of consensus among their proposals. The Commonwealth Fund, working with The George Washington University Department of Health Policy, examined reports from seven organizations with comprehensive approaches to controlling health spending.