JOURNAL ARTICLE
If consumer-directed health plans grow to account for half of all employer-sponsored insurance in the United States, health costs could drop by $57 billion annually—about 4 percent of all health care spending among the nonelderly.
NEWS RELEASE
If consumer-directed health plans grow to account for half of all employer-sponsored insurance in the United States, health costs could drop by $57 billion annually—about 4 percent of all health care spending among the nonelderly.
JOURNAL ARTICLE
This study assesses, from a Swedish societal perspective, the cost effectiveness of interferon β-1b (IFNB-1b) after an initial clinical event suggestive of multiple sclerosis (MS) (ie, early treatment) compared with treatment after onset of clinically definite MS (CDMS) (ie, delayed treatment).
REPORT
This report is the result of an evaluation of the 16 DH integrated care pilots (ICPs).
REPORT
This report contains appendices to the result of an evaluation of the 16 DH integrated care pilots (ICPs).
REPORT
This report is a summary of the result of an evaluation of the 16 DH integrated care pilots (ICPs).
JOURNAL ARTICLE
The technology of the ubiquitous electronic shopping cart could be adapted to help physicians understand the cost of the services they order for patients, and possibly change the mix and total costs of the products in the cart.
NEWS RELEASE
Use of retail medical clinics located in pharmacies and other retail settings increased tenfold between 2007 and 2009. The determining factors in choosing one over a physician's office were found to be age, health status, income, and proximity to the clinic.
COMMENTARY
A scientific and political case could be made to amend health care legislation to require that cost be included in the studies that the PCORI funds, writes Robert H. Brook.
NEWS RELEASE
Under bundled payments, doctors, hospitals, and other providers share one fee for treating all aspects of a procedure such as a hip replacement or a chronic disease like diabetes. The approach should eliminate unnecessary care and improve quality, but putting it into practice is proving to be more difficult than anticipated.
JOURNAL ARTICLE
Research sponsored by the Patient Centered Outcomes Research Institute can help patients make better decisions by comparing the effectiveness of alternative therapies, but it is constrained from considering the costs of therapies it compares.
JOURNAL ARTICLE
Comparative effectiveness reviews need to be regularly updated as new evidence is produced. Lack of attention to updating may lead to outdated and sometimes misleading conclusions that compromise health care and policy decisions.
REPORT
Limiting the growth of health care costs while improving population health poses important and difficult challenges for policymakers. The paper considers innovation in drugs, devices, and methods of delivering health care, with an emphasis on delivery. The authors argue that policymakers should try to encourage innovative activities that are worth their social costs and discourage activities that are not worth their social costs.
REPORT
Considers potential efforts by the U.S. Department of Defense to assess the performance of military treatment facilities (MTFs) in cost-effectively managing health care. The authors first provide an overview of performance assessment in the nonmilitary health care sector; they then analyze the use of average MTF utilization and costs as performance measures, focusing on how MTF size and catastrophic cases affect these metrics.
PERIODICAL
This RAND Review cover story describes RAND's research and analysis of sexual orientation and U.S. military personnel policy relating to the likely repeal of 'Don't Ask, Don't Tell.'
RESEARCH BRIEF
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.
JOURNAL ARTICLE
The move toward comparative effectiveness research may be a positive one for complementary and alternative medicine, but a more critical evaluation might be in order.
JOURNAL ARTICLE
Payers will find it slightly more cost-effective to improve care for moderate than for severe hypertension.
COMMENTARY
The movement toward reporting results of surgeons and hospitals will probably lead to a society in which the wealthy receive care from the better hospitals and physicians, writes Robert H. Brook.
JOURNAL ARTICLE
Improving glucose management among adults with type 2 diabetes has modest costs compared to diabetes-related health care expenditures.