Cost-effectiveness in Health Care

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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.

Reports (12)

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).

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).

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).

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

Discusses obstacles to steering innovation in health care toward activities that are worth their social costs and away from other innovative activities and considers drugs, devices, and delivery, with particular attention to delivery.

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

Discusses the potential usefulness and limitations of using utilization and cost metrics to evaluate the performance of U.S. Department of Defense military treatment facilities.

Home Health Care Could Help Sustain Health Care Systems, but Requires Efforts by Stakeholders — Dec 7, 2010

Home health care technology may provide one important solution to global concerns about how to sustain health care systems threatened by rising costs and manpower shortages, but such a change faces multiple obstacles to adoption.

Estimating Reliability and Misclassification in Physician Profiling — Sep 28, 2010

Explains the relationship between reliability measurement and misclassification for physician quality and cost measures in health care. Provides a method to calculate reliability and misclassification from data typically available to health plans.

Feasibility and Design Options for a Potential Entity to Research the Comparative Effectiveness of Medical Treatments — Jan 15, 2010

The options available to Massachusetts as it considers establishing a comparative effectiveness center to guide health care purchasing decisions are feasible, but design decisions depend on the prioritization of comparative effectiveness research.

Increase the Use of Comparative Effectiveness — Oct 12, 2009

The RAND Corporation's COMPARE initiative provides information and tools to help policymakers, the media, and others understand, design, and evaluate health care policies.

Increase Health Information Technology Adoption and Connectivity — Oct 12, 2009

This document explores how increased health information technology (HIT) adoption and connectivity would affect health system performance along nine dimensions.

Study on the requirements and options for Radio Frequency Identification (RFID) application in healthcare: Final report — Jul 15, 2009

The report assesses drivers, obstacles, uncertainties in deploying RFID in healthcare in Europe. It identifies promising RFID applications for increasing patient safety and reducing cost; and identifies success/failure factors, costs/benefits.

Do Patients Benefit from Second Opinion Programs? — Jan 1, 1981

The author offers a model of patient decisionmaking.

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Researcher Spotlight

Patricia M. Herman

Senior Behavioral & Social Scientist

Patricia M. Herman

Patricia Herman is a senior behavioral scientist at the RAND Corporation. Her research centers on the economics of health care, innovative models of care, individuals' health decisions, and overall quality of life. A NIH/NCCAM-trained research methodologist, a licensed practicing naturopathic…

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…

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