Two doctors discussing results on a computer screen with nurse in foreground

RAND Center of Excellence on Health System Performance

The RAND Center of Excellence on Health System Performance is focused on identifying, classifying, tracking and comparing health systems in today's rapidly changing health care market. We do this to pinpoint the attributes that promote rapid implementation of evidence-based medicine into routine medical practice — in order to improve quality, lower costs, and create better outcomes for patients.

What We Do

  • Medical Homes

    Journal Article

    Significant Costs Involved with Converting Primary Care Medical Practices to 'Medical Homes'

    Martsolf, et al.

    While there are financial incentives available to primary care practices that transform into medical homes, such investments might be especially challenging for small practices and those not associated with a larger health network. The costs include one-time startup costs and ongoing costs, the greatest being adding new staff to help better coordinate patients' care.

  • Medicare

    Journal Article

    Effects of Medicare Payment Reform

    Huckfeldt, et al.

    Medicare continues to implement payment reforms that shift reimbursement from fee-for-service toward episode-based payment, affecting average and marginal payment.

  • Bundled Payment for Health Services

    Journal Article

    Bundled Payments Fall Short in California

    Ridgely, et al.

    Despite widespread interest in bundled payments as a strategy to control health care costs, implementation efforts continue to disappoint. A pilot program in California failed to meet its goals, succumbing to recruitment challenges, regulatory uncertainty, administrative burden, and concerns about financial risk.

  • Health Information Technology

    Journal Article

    Filling the Knowledge Gap in Health IT Value

    Rudin , et al.

    Too many studies intended to evaluate health information technology are limited by incomplete measures of value, and fail to report important details about the context and adoption of the technology. Studies that evaluate the technology over longer periods of time are needed to provide a more-robust picture of its costs and benefits to patients, health providers, and those who pay for health care.

Who We Are

What We Are Saying