Journal Article
To compare reports about care experiences of individuals who died within 1 year of survey with reports of those who did not.
Blog
Reducing inappropriate and wasteful tests, treatments and procedures has the potential to save billions annually and simultaneously improve the quality and safety of American medicine, writes Art Kellermann.
Journal Article
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
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
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.
News Release
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.
Report
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.
Tool
This RAND Health survey captures key differences between managed and "unmanaged" care as well as differences among managed care arrangements, and it includes six domains predicted to have an impact on access, service utilization, costs, and quality.
Journal Article
Failure to account for language differences in CAHPS survey items may result in misleading conclusions about disparities in health care experiences between Spanish and English speakers.
Journal Article
More educated, affluent patients were no more likely to be offered a choice than other population groups, but there does appear to be a social gradient in who chose to travel beyond the local area for treatment. If these results were replicated across England, there is at least the potential risk that when local hospitals are failing, patient choice could result in inequitable access to high quality care, rather than enhancing equity as the policy's architects had hoped.
Journal Article
Many depressed patients are receiving recommended psychotherapy but better tools are needed to monitor and improve the quality of usual psychotherapeutic care.
Journal Article
National health surveys can provide information, including measures of special health care needs, that can improve risk-adjustment models and help provide appropriate payments to managed-care plans serving vulnerable children.
Journal Article
Examines whether low-income parents of children enrolled in the New York State Children's Health Insurance Program (SCHIP) choose managed care plans with better quality of care.
Journal Article
This was an observational study of the health care use, costs, and quality of care of 27,211 members of a large health insurer who were identified through claims as having asthma, diabetes, or congestive heart failure, were considered to be at high risk for incurring significant claims costs, and were eligible to join a disease management program involving health coaching. Findings illuminated the serious problem of selection into Disease management (DM) programs and suggest that the effectiveness levels found in prior evaluations using methodologies that don't address this may be overstated.
Journal Article
Research has shown that managed care (MC) slowed the rate of growth in health care spending in the 1990s, primarily via lower unit prices paid.
Journal Article
This article describes three notable features of the competitive mental health care market and their policy implications.
Journal Article
The Centers for Medicare and Medicaid Services pays for services provided through traditional fee-for-service (FFS) Medicare and managed care plans (Medicare Advantage [MA]). It is important to understand how financing and organizational arrangements relate to quality of care. Compares care experiences and preventive services receipt in traditional Medicare and MA for healthy and sick beneficiaries.
Journal Article
High levels of unmet need persist for children with special health care needs in the face of substantial resources that have been committed to improving their care, including the integration of behavioral health into Medicaid managed care.
Journal Article
Finds a negative association between nonprice competition and quality of care in managed care plans in the New York SCHIP market. Pricing policy is likely a constraint on quality production, though it may not be interpreted as a causal relationship.
Journal Article
Uses the Consumer Assessments of Healthcare Providers and Systems survey to examine the experiences of Hispanics enrolled in Medicare managed care. Hispanics face barriers to care; however, their experiences with care vary by language and region.
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