Law, Ethics, and Health
2011
Bridging the Gap Between Basic Science and Clinical Practice: A Role for Community Clinicians — 2011
A paradigm shift involving acknowledgement of the value of clinicians in the context of community research, establishment of a stable infrastructure to support a cohort of clinicians across time and research studies, and realignment of incentives to encourage participation in clinical research is required.
Bridging the Gap Between Basic Science and Clinical Practice: The Role of Organizations in Addressing Clinician Barriers — 2011
This paper identifies several approaches that healthcare organizations can use to overcome barriers to clinician participation in research studies.
Clinical Decision Support and Malpractice Risk — 2011
Clinical decision support (CDS) refers to electronic technology used to enhance clinical decision making. The basic challenge for policymakers interested in promoting adoption of CDS is to ensure that liability concerns do not derail the clinical value of new CDS technology.
Employer Self-Insurance Decisions and the Implications of the Patient Protection and Affordable Care Act as Modified by the Health Care and Education Reconciliation Act of 2010 (ACA) — 2011
Implications of the Patient Protection and Affordable Care Act of 2010 (as Modified by the Health Care and Education Reconciliation Act) for small firms' decisions to offer self-insured health plans and consequences of self-insurance for enrollees.
Geographic Variation in Physicians' Responses to a Reimbursement Change — 2011
Although there has been considerable discussion of how the changes that the ACA makes in Medicare reimbursement might affect Medicare spending, on average, there has been little to no explicit recognition that the effects may vary geographically.
Health Care Reform and the Health Care Workforce — The Massachusetts Experience — 2011
Analysis of the Massachusetts Health Care Reform Plan suggests national health care reform may require larger numbers of support personnel, rather than requiring greater numbers of physicians and nurses themselves.
High-Deductible Health Plans Cut Spending but Also Reduce Preventive Care — 2011
High-deductible plans significantly reduce health care spending but also lead consumers to cut back on their use of preventive health care -- even though high-deductible plans waive the deductible for such care.
How Does Health Reform Affect the Health Care Workforce? Lessons from Massachusetts — 2011
Since Massachusetts enacted health reform legislation in 2006, health care employment in the state has grown more rapidly than in the rest of the United States, primarily in administrative positions.
How Will Health Care Reform Affect Costs and Coverage? Examples from Five States — 2011
Projects how the coverage-related provisions of the Patient Protection and Affordable Care Act will affect health insurance coverage and state government spending on health care in five states.
The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in California: An Analysis from RAND COMPARE — 2011
Projects how the coverage-related provisions of the Patient Protection and Affordable Care Act will affect health insurance coverage and state government spending on health care in California through 2020.
The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in Connecticut: An Analysis from RAND COMPARE — 2011
Projects how the coverage-related provisions of the Patient Protection and Affordable Care Act will affect health insurance coverage and state government spending on health care in Connecticut through 2020.
The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in Illinois: An Analysis from RAND COMPARE — 2011
Projects how the coverage-related provisions of the Patient Protection and Affordable Care Act will affect health insurance coverage and state government spending on health care in Illinois through 2020.
The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in Montana: An Analysis from RAND COMPARE — 2011
Projects how the coverage-related provisions of the Patient Protection and Affordable Care Act will affect health insurance coverage and state government spending on health care in Montana through 2020.
The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in Texas: An Analysis from RAND COMPARE — 2011
Projects how the coverage-related provisions of the Patient Protection and Affordable Care Act will affect health insurance coverage and state government spending on health care in Texas through 2020.
Payment Reform: Analysis of Models and Performance Measurement Implications — 2011
This technical report catalogues nearly 100 implemented and proposed health care payment reform programs, classifies each program into one of 11 payment reform models, and identifies the performance measurement needs associated with each model.
Policy Options for Addressing Medicare Payment Differentials Across Ambulatory Settings — 2011
Building on prior RAND analyses, this report presents options for modifying Medicare payment policies to improve the value of services and to address payment differentials for similar services provided in various ambulatory settings.
Power to the People: The Role of Consumer-Controlled Personal Health Management Systems in the Evolution of Employer-Based Health Care Benefits — 2011
The Patient Protection and Affordable Care Act has piqued employers' interest in new benefit designs. This paper reviews consumer-controlled personal health management systems that could help individuals control and manage their health care.
Small Firms' Actions in Two Areas, and Exchange Premium and Enrollment Impact — 2011
An analysis of two rules that allow small businesses to avoid participating in health reform concludes they will have only a minor impact because relatively few businesses are likely to take advantage of the options.
Source Materials for the Healthy Communities Toolkit: A Resource Guide for Community and Faith-Based Organizations — 2011
Provides content for a toolkit that will prepare community and faith-based organizations to take advantage of opportunities presented in the Affordable Care Act and engage faith and community leaders in promoting health in their communities.
2010
Achieving Public Health Legal Preparedness: How Dissonant Views on Public Health Law Threaten Emergency Preparedness and Response — 2011
Organizational culture differences between public health and emergency management entities may hinder inter-agency collaboration.
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