The debate within the U.S. government about reforming the health care system centers on ways to control rising costs and assure high-quality, affordable care. RAND Health and its health care reform initiative—RAND COMPARE (Comprehensive Assessment of Reform Efforts)—provide objective research and analysis on topics that can inform the health care reform debate, including financing; increasing access, insurance coverage, and quality; decreasing costs; and promoting wellness and prevention.
Research conducted by:
RAND Health
Featured at RAND
With the complex process of implementing the ACA underway, RAND research is tracking the progress of implementation and assessing the potential consequences of choices facing federal and state governments, employers, families, and individuals.
In its second term, the Obama Administration can restrain further health care spending growth—without compromising quality—by employing four broad strategies: fostering efficient and accountable providers, engaging and empowering consumers, promoting population health, and facilitating high-value innovation.
All Items (233)
Journal Article
Comprehensive and high-quality care for persons with eventually fatal chronic illness can be an adverse business strategy for providers.
Journal Article
Proposes a new category for public policy and clinical quality improvement, ''persons who will die as a result of serious and complex illness,'' a population for whom delivery system changes could ensure reliable, continuous, and competent care.
Commentary
Published commentary by RAND staff.
Journal Article
The National Health Service (NHS) is embarking on an ambitious new program to measure the quality of health care within the service.
Journal Article
Managed care plans for large government-sponsored insurance programs can reduce utilization and maintain patient access and satisfaction.
Journal Article
SUPPORT's intervention may have failed to have an impact because strong psychological and social forces underlie present practices.
Research Brief
States vary substantially in the number of uninsured residents and in their population's health and access to care. As a consequence, effects of policies will vary across states. Many states may need federal assistance to expand access.
Journal Article
Part of a compartive volume on health care cost containment in the European Union, article presents the status of the Netherlands as of the mid-1990s.
Research Brief
CRI fundamentally changed the military health system; therefore, Congress required a demonstration to test the initiative's feasibility and cost-effectiveness before expanding it.
Journal Article
The goals of a health system should be to provide necessary care to everybody, improve quality of care, reduce variations, and eliminate waste.
Journal Article
Service costs and utilization patterns of children in carved-out behavioral health care plans were examined and compared with those of adults.
Journal Article
Examine the degree to which variation in place of death is explained by differences in the characteristics of patients, including preferences for dying at home, and by differences in the characteristics of local health systems.
Journal Article
The rapid growth of managed care poses challenges and opportunities for the health of the public.
Report
This book documents the inefficiencies of our national systems -- prepaid as well as fee-for-service -- for treating depression and explores how they can be improved.
Journal Article
Key issues underlying the discrepancies between the needs of children and families and the current and evolving structure of health services in U.S.
Journal Article
This article argues that health policymakers need to understand the expected and unexpected impacts of economic reform on health outcomes in individuals and on the population.
Report
This study simulates the economic incidence of an employer health insurance mandate on the earnings of workers.
Journal Article
This article discusses the quality of care delivered to children and suggests several methodological strategies for assessing quality of care for children, including aggregating across services for several conditions, examining access and appropriateness of care, developing generic measures of children's health status sufficiently sensitive to distinguish sick from well children and among levels of severity, and linking outcome measures and variations in process.
Journal Article
Some of the experiences of Taiwan in formulating a market-based health care system may be relevant to countries looking to the market to reform their health system.
RAND® is a registered trademark. Copyright © 1994-2013 RAND Corporation.