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Aging and Health Research Profile
Payment Systems for Care
Medicare Beneficiaries' Health Care Quality and Outcomes
A study to determine the extent to which differences in the technical and interpersonal quality of care provided to Medicare beneficiaries account for differences in health outcomes.
Contact: Lisa Shugarman, PhD (Lisa_Shugarman@rand.org)Value-Based Purchasing Strategies for Medicare Hospitals and Physicians
An examina-tion of various attribution rules for assigning responsibility to providers for different clinical events and conditions and the implications for tying performance measurement to episodes of care and of the construction of episodes of care--grouping together all claims for a given con-dition over a period as defined by two commercially available software grouper tools (i.e., Symmertry ETGs and Thomson-Medstat MEGs).
Contact: Cheryl Damberg, PhD (Cheryl_Damberg@rand.org)Improving Pharmacy Benefit Design
An extension of earlier RAND work and the overall literature on prescription drug cost sharing along several dimensions by (1) investigating pa-tient behavior across a diverse set of diseases and drug classes; (2) examining the link between benefit design and health outcomes; (3) examining issues surrounding novel specialty pharma-ceuticals; and (4) assessing whether the results differ for the elderly (an issue of great salience with the recent introduction of Medicare Part D).
Contact: Dana Goldman, PhD (Dana_Goldman@rand.org)Medicare's Reimbursement Changes for Post-Acute Care
A study of how recent changes in Medicare’s methods of payment for post-acute care after hospital discharge might affect seniors and their care outcomes.
Contact: Melinda Beeuwkes Buntin, PhD (Melinda_Buntin@rand.org)Medicare and the Disadvantaged
A study that uses several new data sources to determine whether Medicare redistributes resources toward disadvantaged groups within a cohort and whether it improves the welfare of any of these groups.
Contact: Darius Lakdawalla, PhD (Darius_Lakdawalla@rand.org)Payment Differentials in Different Provider Settings
An analysis of the Medicare payment differentials and patterns of care for selected procedures.
Contact: Barbara Wynn, MA (Barbara_Wynn@rand.org)Utilization, Health Disparities, and Medicare
An examination of data from the University of Michigan’s Health and Retirement Study linked with Medicare claims records, to identify differences across groups in the utilization of health care services after age 65 and to test alternative explanations, including the role of supplementary insurance, for differences by race.
Contact: Nicole Maestas, PhD (Nicole_Maestas@rand.org)
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