Cost-effectiveness in Health Care

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Featured at RAND

How Do Anesthesia Providers Affect the Cost of Outpatient GI Procedures?

For most of the 20 million endoscopies and colonoscopies performed each year, the type of clinician who administers the sedation may have more of an impact on the procedure’s cost than on clinical care outcomes. Allowing GI procedure teams to administer anesthesia could save $1.1 billion in health spending each year.

All Items (81)

Research Brief

Does integrated care deliver the benefits expected? Findings from 16 integrated care pilot initiatives in England — May 13, 2013

RAND Europe co-led an evaluation of 16 varied pilot projects initiated by the Department of Health (England) as a means to explore new ways of integrating patient care from different local provider.

Commentary

The Delayed Promise of Health-Care IT — Feb 26, 2013

Globally, the health IT industry should not wait to be forced by government regulators into doing a better job. Developers can boost the pace of adoption by creating more standardized systems that are easier to use, truly interoperable, and afford patients greater access to and control over their personal health data.

News Release

More Changes in Health Care Needed to Fulfill Promise of Health Information Technology — Jan 7, 2013

Despite wide investments nationally in electronic medical records and related tools, the cost-saving promise of health information technology has not been reached because the systems deployed are neither interconnected nor easy to use.

Journal Article

More Changes in Health Care Needed to Fulfill Promise of Health Information Technology — Jan 7, 2013

Despite wide investments nationally in electronic medical records and related tools, the cost-saving promise of health information technology has not been reached because the systems deployed are neither interconnected nor easy to use.

Journal Article

Evaluation of Centers of Excellence Program for Knee and Hip Replacement — Jan 1, 2013

The costs of knee and hip replacement in designated centers of excellence do not differ from costs in other hospitals. But hip replacements performed in such centers had lower complication rates. Complication rates for knee replacement did not differ.

Journal Article

Price Shopping in Consumer-Directed Health Plans — Jan 1, 2013

With the exception of office visits, prices for most common health services don't differ between consumer-directed health plans and traditional plans.

News Release

Changing Financial Incentives, Other Strategies Can Improve Impact of Comparative Effectiveness Studies on Patient Care — Oct 9, 2012

Comparative effectiveness research conducted over the past decade has had a limited impact on the way medical care is delivered, but many opportunities exist to help doctors and others in the medical system translate such research into better patient care.

Journal Article

Changing Financial Incentives Can Improve Impact of Comparative Effectiveness Studies on Patient Care — Oct 9, 2012

Comparative effectiveness research conducted over the past decade has had a limited impact on the way medical care is delivered, but many opportunities exist to help doctors and others in the medical system translate such research into better patient care.

Journal Article

Health Systems, Heuristics, and Comparative Effectiveness Research — Oct 1, 2012

Comparative effectiveness research will be hard to use appropriately because context and emotion often dominate a patient's rational decisionmaking and because therapies are provided in different health care environments, making small differences between therapies basically meaningless.

Blog

Physicians Can Lead the Way in Reducing Health Care Waste — Jun 14, 2012

Physicians are in an ideal position to identify and eliminate health care waste by categorizing all medical services into four distinct types.

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

Early treatment with IFNB-1b for a first clinical event suggestive of MS was found to improve patient outcomes while controlling costs.

Journal Article

Eliminating Waste in US Health Care — Apr 1, 2012

The need is urgent to bring US health care costs into a sustainable range for both public and private payers.

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.

Journal Article

Can Quality-Adjusted Life-Years and Subgroups Help Us Decide Whether to Treat Late-Arriving Stroke Patients with Tissue Plasminogen Activator? — Jan 1, 2012

Treatment of stroke patients is highly time-sensitive. The risk of death or disability caused by intracranial hemorrhage may increase with both stroke size and time.

Journal Article

Are Complementary Therapies and Integrative Care Cost-Effective? A Systematic Review of Economic Evaluations — Jan 1, 2012

A comprehensive systematic review of economic evaluations of complementary and integrative medicine (CIM) to establish the value of these therapies to health reform efforts.

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Researcher Spotlight

Teryl K. Nuckols

Affiliate Adjunct Staff

Teryl K. Nuckols

Teryl Nuckols is an Associate Professor of Internal Medicine at the University of California, Los Angeles (UCLA) and a Health Services Researcher at the RAND Corporation. Her clinical and teaching activities at UCLA focus on the care of hospitalized patients. Her research interests involve…

John Mendeloff

Director, RAND Center for Health and Safety in the Workplace

John Mendeloff

John Mendeloff is the director of the RAND Center for Health and Safety in the Workplace and a professor at the Pardee RAND Graduate School. He is also a professor at the University of Pittsburgh with appointments in the Graduate School of Public and International Affairs, the School of Public…

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