Health care systems may be financed in various ways, including through government funding, taxation, out-of-pocket payments, private insurance, and donations or voluntary aid. RAND research explores the effects of corporate and government health care financing policies on such groups as patients, businesses, hospitals, and physician-providers.
Regions of the United States where doctors and hospitals are consolidated into large networks are more likely to have accountable care organizations, medical practice structures intended to improve medical care and cut costs.
Our study offers important lessons for the planned implementation of choice in primary care in the English NHS.
Investigating if the racial/ethnic composition of Medicare Advantage plans reflect the composition of their areas of operation revealed little evidence that health plans are selectively underenrolling blacks, Latinos, or Asians to a substantial degree.
Alignment with best P4P practices varies across Medicare programs; the program for Medicare Advantage aligns most strongly. It is unclear which P4P design elements are critical for quality improvement. Unintended consequences of design features are poorly understood.
States that choose not to expand Medicaid under federal health care reform will leave millions of their residents without health insurance and increase spending on the cost of treating uninsured residents, at least in the short term.
While there has been interest in using utilization measures to profile physicians, examinations of these measures are rare. This study found only a small number of commonly used utilization measures reliably capture real differences in utilization among physicians.
A new federal law allowing young adults to remain on their parents' medical insurance through age 25 has shielded them, their families, and hospitals from the full financial consequences of serious medical emergencies.
Questionnaires suggest similar levels of satisfaction between patrons of mail-pharmacy services and those using traditional pharmacy services.
Research based primarily on reports from an individual's surviving relatives often suggests that end-of-life care experiences are particularly poor. However, this examination of reports from patients found that those who died within a year of being surveyed reported slightly better experiences than other enrollees.
By 2030, California's entire elderly population is projected to double what it was in 2000. This profile provides a factual framework to help consumer advocates, health care providers, and policymakers better understand California's Medicare population and inform their efforts to design programs and policies.
Use of and spending on complementary and alternative medicine have flattened out. Including providers of these services in new delivery systems such as accountable care organizations could help slow growth in national health care spending.
HIT's disappointing performance primarily stems from sluggish adoption of health IT systems, systems that are not interoperable or easy to use, and failure of providers and institutions to do their part by reengineering care processes.
This research indicates that beneficiaries in 3 types of special needs plans show evidence of worse health-related quality of life.
As policymakers worldwide debate ways to reform health care to reduce expenditures, estimates of price elasticity of expenditure are a key component for predicting expenditures under alternative policies. Here, data from Chile was used to estimate elasticity of expenditures across a variety of health care services.
Innovative payment reform initiatives occur in both the public and private sector, but the optimal role of the public sector in such reforms is up for debate.
ACA-mandated payment reforms need to achieve more than a one-time cost saving.
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.
Physician organizations (POs)—independent practice associations and medical groups—located in lower socioeconomic status (SES) areas may score poorly in pay-for-performance (P4P) programs.
This study estimated how healthy people value insurance coverage of specialty drugs, defined as high-cost drugs that treat cancer and other serious health conditions like multiple sclerosis, by quantifying willingness to pay via a survey.
As health care reform expands the use of "report cards" to grade health care providers, greater attention to reporting methods may be needed to assure the quality of such efforts.