Cost-effectiveness in Health Care

All Items (67)

JOURNAL ARTICLE

Expanding Consumer-Directed Health Plans Could Help Cut Overall Health Care Spending — May 7, 2012

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

Expanding Consumer-Directed Health Plans Could Help Cut Overall Health Care Spending — May 7, 2012

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

Cost-effectiveness Analysis of Interferon Beta-1b for the Treatment of Patients with a First Clinical Event Suggestive of Multiple Sclerosis — May 1, 2012

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

National Evaluation of the DH Integrated Care Pilots — Mar 22, 2012

This report is the result of an evaluation of the 16 DH integrated care pilots (ICPs).

REPORT

National Evaluation of the DH Integrated Care Pilots: Appendices — Mar 22, 2012

This report contains appendices to the result of an evaluation of the 16 DH integrated care pilots (ICPs).

REPORT

National Evaluation of the DH Integrated Care Pilots: Summary — Mar 22, 2012

This report is a summary of the result of an evaluation of the 16 DH integrated care pilots (ICPs).

JOURNAL ARTICLE

Do Physicians Need a "Shopping Cart" for Health Care Services? — Feb 1, 2012

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 Rises 10-Fold Over Two-Year Period — Nov 22, 2011

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

Can the Patient-Centered Outcomes Research Institute Become Relevant to Controlling Medical Costs and Improving Value? — Nov 9, 2011

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

Bundling Payments to Curb Health Care Costs Proves Difficult to Realize — Nov 7, 2011

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

Can the Patient-Centered Outcomes Research Institute Become Relevant to Controlling Medical Costs and Improving Value? — Nov 1, 2011

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

Updating Comparative Effectiveness Reviews: Current Efforts in AHRQ's Effective Health Care Program — Oct 31, 2011

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

Challenges to Value-Enhancing Innovation in Health Care Delivery: Commonalities and Contrasts with Innovation in Drugs and Devices — Oct 4, 2011

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

Assessing the Performance of Military Treatment Facilities — Sep 21, 2011

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

Gays in the Military: Eventually, New Facts Conquer Old Taboos — Apr 29, 2011

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 Health Plans Cut Spending but Also Reduce Preventive Care — Apr 5, 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.

JOURNAL ARTICLE

Comparative Effectiveness Research: Does the Emperor Have Clothes — Feb 28, 2011

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

Cost Implications of Improving Blood Pressure Management Among U.S. Adults — Feb 8, 2011

Payers will find it slightly more cost-effective to improve care for moderate than for severe hypertension.

COMMENTARY

Is Choice of Physician and Hospital an Essential Benefit? — Jan 12, 2011

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

Cost Implications to Health Care Payers of Improving Glucose Management among Adults with Type 2 Diabetes — Dec 31, 2010

Improving glucose management among adults with type 2 diabetes has modest costs compared to diabetes-related health care expenditures.

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