Insurance

Research conducted by: RAND Justice, Infrastructure, and Environment; RAND Health; Center for Terrorism Risk Management Policy; Center for Health and Safety in the Workplace

All Items (612)

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

Trends in Retail Clinic Use Among the Commercially Insured — Nov 1, 2011

Retail clinic use increased 10-fold from 2007 to 2009. By 2009, roughly 7 percent of all visits by commercially insured patients for 11 common acute-care conditions were to a retail clinic. Increased use was especially dramatic among young, healthy, and higher-income individuals.

Commentary

Ensuring the ACA Helps Reduce Disparities—Not Exacerbate Them — Oct 14, 2011

Evidence from past efforts in the U.S. and abroad suggests that the full potential of health reform will not be realized without specific efforts to reduce disparities, write Robin M. Weinick, Malcom V. Williams, and Romana Hasnain-Wynia.

Report

Focus on the Rising Cost of Health Care — Oct 5, 2011

A substantial body of RAND research has focused on evaluating policies to lower health care costs; promoting health and preventing disease; and improving health system value and quality of care.

Project

Making the Civil Justice System More Efficient and Equitable — Oct 3, 2011

The RAND Institute for Civil Justice (ICJ) conducts research on all aspects of civil justice, from trends in litigation and jury verdicts to punitive damages, compensation systems, and alternative dispute resolution. Directly or indirectly, civil justice issues have an impact on us all.

Commentary

Next Big Obstacle for Obama's Affordable Care Act? It's Not Just the Supreme Court — Oct 3, 2011

The success of the Affordable Care Act to enroll those newly eligible in an appropriate insurance plan depends on clear communication to individuals who have limited health literacy, write Laurie T. Martin and Ruth M. Parker.

Journal Article

Responsiveness and Satisfaction with Providers and Carriers in a Safety Net Insurance Program: Evidence from Georgia's Medical Insurance for the Poor — Oct 1, 2011

Relying on private insurance companies to deliver public programs in middle-income settings may impact provider responsiveness and indicate the need for continuous monitoring and regulation.

Journal Article

The Impact of Stricter Criteria for Disability Insurance on Labor Force Participation — Oct 1, 2011

This paper studies the effect of a large-scale policy change in the Austrian disability insurance program, which tightened eligibility criteria for men above a certain age.

Journal Article

Relative Affordability of Health Insurance Premiums Under CHIP Expansion Programs and the ACA — Oct 1, 2011

Affordability benchmarks and premium-contribution requirements for Children's Health Insurance Program expansions in three states vary substantially, underscoring the ambiguity and subjectivity of affordability standards.

News Release

Consumers May Have More Control Over Health Care Costs Than Previously Thought — Sep 29, 2011

The historic RAND Health Insurance Experiment found that patients had little or no control over their health care spending once they began to receive a physician's care, but this has changed for those enrolled in consumer-directed health plans.

Journal Article

Consumers May Have More Control Over Health Care Costs Than Previously Thought — Sep 29, 2011

The historic RAND Health Insurance Experiment found that patients had little or no control over their health care spending once they began to receive a physician's care, but this has changed for those enrolled in consumer-directed health plans.

Journal Article

Atypical Antipsychotics May Aid Symptoms for Some Off-Label Conditions, but Not Others — Sep 27, 2011

Evidence supports the effectiveness of some atypical antipsychotics in reducing symptoms of generalized anxiety disorder, obsessive-compulsive disorder, post-traumatic stress disorder and behavioral symptoms in elderly patients with dementia. There is insufficient evidence that the medications are effective for treating eating disorders, substance abuse and insomnia.

Project

Would Changing SSDI Program Rules Induce Entry? — Sep 16, 2011

Changing the Social Security Disability Insurance program rules could reduce caseload costs by encouraging a return to work, but it could also create unintended consequences by inducing more workers to apply for benefits.

Report

Power to the People: The Role of Consumer-Controlled Personal Health Management Systems in the Evolution of Employer-Based Health Care Benefits — Sep 13, 2011

The Patient Protection and Affordable Care Act has piqued employers' interest in new benefit designs. This paper reviews consumer-controlled personal health management systems that could help individuals control and manage their health care.

News Release

Consolidation of Health Plans May Help Lower Hospital Costs — Sep 8, 2011

Increased consolidation among health plans nationally may benefit consumers by lowering hospital prices, at least in those regions where health plans are the most consolidated.

Journal Article

Consolidation of Health Plans May Help Lower Hospital Costs — Sep 8, 2011

Increased consolidation among health plans nationally may benefit consumers by lowering hospital prices, at least in those regions where health plans are the most consolidated.

News Release

Accelerating Health Care Costs Wiping Out Much of Americans' Income Gains — Sep 8, 2011

Fast-rising health care costs have eaten nearly all the income gains made by a median-income American family of four over the past decade, leaving them with just $95 per month in extra income, after accounting for taxes and price increases.

Research Brief

Accelerating Health Care Costs Wiping Out Much of Americans' Income Gains — Sep 8, 2011

Fast-rising health care costs have eaten nearly all the income gains made by a median-income American family of four over the past decade, leaving them with just $95 per month in extra income, after accounting for taxes and price increases.

Journal Article

Spillover Effects of Community Uninsurance on Working-Age Adults and Seniors: An Instrumental Variables Analysis — Sep 1, 2011

Access to care and care quality for those with insurance are poorer in communities in which many individuals are uninsured.

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