In 2008, the Indian Health Service launched a patient-centered medical home (PCMH) initiative to improve the quality of care in its clinics. RAND researchers identified barriers and strategies to assist clinics on the path to PCMH recognition.
May 25, 2018
Guidelines designed to reduce the prescription of opioids following an injury did not reduce opioid use.
Dec 7, 2017
A 3-year demonstration to strengthen the delivery of primary care in federally qualified health centers provides some empirical evidence in support of medical-home transformation..
Sep 13, 2017
This report reviews the features of tax-based approaches to subsidizing health insurance, including tax credits and tax deductions, and summarizes their associated benefits and drawbacks.
Jul 13, 2017
Evaluation of CMS's Federally Qualified Health Center (FQHC) Advanced Primary Care Practice (APCP) Demonstration: Final Report
This report contains an independent evaluation of the Federally Qualified Health Center Advanced Primary Care Practice Demonstration for the Centers for Medicare and Medicaid.
Jun 26, 2017
This chartbook updates previous versions with more recent data on the prevalence of multiple chronic conditions (2008-2014) and associated health care utilization and spending.
May 26, 2017
RAND researchers examined stakeholder experiences with an Affordable Care Act provision that qualifying providers of primary care services participating in the Medicaid program would receive enhanced federal payments for providing certain services.
Apr 4, 2017
This report supports the California Division of Workers' Compensation's efforts to establish a drug formulary by comparing existing workers' compensation formularies and analyzing options for designing and implementing the formulary.
Aug 25, 2016
This report examines how private employer health exchanges function, how they may affect employers and employees, and the possible implications for the Affordable Care Act's Small Business Health Options Program Marketplaces.
May 9, 2016
The Department of Veterans Affairs (VA) furnishes purchased care services through an array of programs, each with different requirements and processes. A strategy for purchased care is needed to design an effective purchased care program.
Dec 31, 2015
Resources and Capabilities of the Department of Veterans Affairs to Provide Timely and Accessible Care to Veterans
The Department of Veterans Affairs health care system, with broad resources and capabilities, provides timely and high-quality care to most, but not all, patients. Meeting veterans' needs over the next five years will require additional capacity.
Dec 31, 2015
For fifty years Medicare has enhanced the health and financial security of seniors.
Dec 10, 2015
Evaluating Consumer Preferences for Healthy Eating from Community Kitchens in Low-Income Urban Areas: A Discrete Choice Experiment of Comedores Populares in Peru
We sought to understand preferences for items prepared in Comedores Populares, government-supported food vendors serving low-income Peruvians, to determine whether it would be feasible to introduce healthier items, specifically fruits and vegetables.
Jul 30, 2015
Innovative Care Models for High-Cost Medicare Beneficiaries: Delivery System and Payment Reform to Accelerate Adoption
This paper illustrates how Medicare Advantage plans and accountable care organizations could benefit from adopting innovative care delivery models, and suggests policy changes to accelerate spread.
Jul 7, 2015
Mandated uniform out-of-pocket caps for those with group insurance will benefit very few individuals, and will not result in substantial reductions in financial burden.
Mar 9, 2015
Comparing Employer-Sponsored and Federal Exchange Plans: Wide Variations in Cost Sharing for Prescription Drugs
Our primary objective was to examine the variability in drug coverage in the exchanges across plan types (health maintenance organization or preferred provider organization) and metal tiers (bronze, silver, gold, and platinum).
Mar 9, 2015