Catherine C. Cohen

Biden's Proposed New Health Agency Would Emphasize Innovation. Here's How It Might Work

President Biden has proposed a new health agency modeled on DARPA to work on groundbreaking research. This agency could pursue the kind of high-risk research that can lead to high-reward results and help get more medical treatments to market sooner.

Journal Article

Evaluation of Phase II of the Medicare Advantage Value-Based Insurance Design Model Test: First Three Years of Implementation (2020–2022)

RAND researchers are conducting a multiyear evaluation of the VBID Model test using a mixed-methods approach that involves surveys, interviews, and quantitative analyses of the relationship between VBID implementation and a variety of outcomes.

Journal Article

The Impact of Nurse Practitioner-Led Primary Care on Quality and Cost for Medicaid-Enrolled Patients in States With Pay Parity

This retrospective cohort study evaluated the quality and cost implications of receiving primary care from nurse practitioners (NPs) compared to physicians in 14 states that reimburse NPs at the Medicaid fee-for-service physician rate (pay parity).

Journal Article

Evaluation of Phase II of the Medicare Advantage Value-Based Insurance Design Model Test: First Two Years of Implementation (2020–2021), and Appendixes

This report presents the RAND Corporation team's findings from its evaluation of Phase II of the Medicare Advantage Value-Based Insurance Design model test, for the years 2020 and 2021.

Report

Practice Expense Data Collection and Methodology: Phase II Final Report

In this report, the authors address how the Centers for Medicare & Medicaid Services might improve the methodology used in practice expense (PE) rate-setting, update data that inform PE rates, or both.

Tool

How to Integrate Pharmacotherapy for Substance Use Disorders at Your Mental Health Clinic: A Step-By-Step Guide for Screening and Treating Adults with Co-Occurring Mental Illness and Alcohol and/or Opioid Use Disorders with Pharmacotherapy in Mental Health Clinics

RAND researchers provide a toolkit to support the delivery of effective, evidence-based pharmacotherapy for clients with co-occurring substance use and mental health disorders and simplify care implementation in mental health clinics.

Journal Article

Organizational Capacity and Readiness to Provide Medication for Individuals with Co-Occurring Alcohol Use Disorders in Public Mental Health Settings

Organizational capacity and readiness constraints impede the delivery of medication treatment for alcohol use disorder in a large mental health system.

Journal Article

Impact of Primary Care Worksite Health and Wellness Clinics on HbA1c Level Among Prediabetic or Diabetic Employees

This study determined whether the use of worksite health and wellness clinics reduced hemoglobin A1c (HbA1c) for prediabetic and diabetic employees.

Journal Article

The Surgical and Anesthesia Workforce and Provision of Surgical Services in Rural Communities: A Mixed-Methods Examination

This mixed-methods study describes the distribution of the surgical and anesthesia workforce and qualitatively explores how such workforce and other factors influence rural hospitals' provision of surgical services.

Report

Practice Expense Methodology and Data Collection Research and Analysis: Interim Phase II Report

In this report, the authors address how the Centers for Medicare and Medicaid Services can improve the methodology or update data used for setting practice expense payment rates under the Medicare Physician Fee Schedule.

Journal Article

Top Priorities for the Next Decade of Nursing Health Services Research

This article presents a Nursing Health Services Research agenda for the 2020s.

Journal Article

Trends in Antibiotics Use Among Long-Term US Nursing-Home Residents

The increased proportion of assessments recording antibiotics but no infection may not be clinically appropriate.

Tool

Medications for Alcohol Use Disorder in Mental Health Settings

This tool reviews how clinicians who work in mental health settings can provide pharmacotherapy treatment for an alcohol use disorder that co-occurs with a primary mental health condition.

Report

Development and Evaluation of Candidate Standardized Patient Assessment Data Elements: Findings from the National Beta Test (Volume 1: Executive Summary)

This report, part of a series, describes patient assessment data elements developed and tested by RAND on behalf of the Centers for Medicare & Medicaid services to comply with the Improving Medicare Post-Acute Care Transformation Act of 2014.

Report

Development and Evaluation of Candidate Standardized Patient Assessment Data Elements: Findings from the National Beta Test (Volume 3: Sample Description)

This report, part of a series, describes patient assessment data elements developed and tested by RAND on behalf of the Centers for Medicare & Medicaid services to comply with the Improving Medicare Post-Acute Care Transformation Act of 2014.

Report

Development and Evaluation of Candidate Standardized Patient Assessment Data Elements: Findings from the National Beta Test (Volume 8: Observational Assessments of Cognitive Function, Mental Status, and Pain)

This report, part of a series, describes patient assessment data elements developed and tested by RAND on behalf of the Centers for Medicare & Medicaid services to comply with the Improving Medicare Post-Acute Care Transformation Act of 2014.

Report

Development and Evaluation of Candidate Standardized Patient Assessment Data Elements: Findings from the National Beta Test (Volume 6: Impairments and Special Services, Treatments, and Interventions)

This report, part of a series, describes patient assessment data elements developed and tested by RAND on behalf of the Centers for Medicare & Medicaid services to comply with the Improving Medicare Post-Acute Care Transformation Act of 2014.

Report

Development and Evaluation of Candidate Standardized Patient Assessment Data Elements: Findings from the National Beta Test (Volume 7: Global Health, Care Preferences, and Medication Reconciliation)

This report, part of a series, describes patient assessment data elements developed and tested by RAND on behalf of the Centers for Medicare & Medicaid services to comply with the Improving Medicare Post-Acute Care Transformation Act of 2014.

Report

Development and Evaluation of Candidate Standardized Patient Assessment Data Elements: Findings from the National Beta Test (Volume 2: Background and Methods)

This report, part of a series, describes patient assessment data elements developed and tested by RAND on behalf of the Centers for Medicare & Medicaid services to comply with the Improving Medicare Post-Acute Care Transformation Act of 2014.

Report

Development and Evaluation of Candidate Standardized Patient Assessment Data Elements: Findings from the National Beta Test (Volume 4: Cognitive Function)

This report, part of a series, describes patient assessment data elements developed and tested by RAND on behalf of the Centers for Medicare & Medicaid services to comply with the Improving Medicare Post-Acute Care Transformation Act of 2014.

Report

Development and Evaluation of Candidate Standardized Patient Assessment Data Elements: Findings from the National Beta Test (Volume 5: Mental Status and Pain)

This report, part of a series, describes patient assessment data elements developed and tested by RAND on behalf of the Centers for Medicare & Medicaid services to comply with the Improving Medicare Post-Acute Care Transformation Act of 2014.

Journal Article

Relationship Between State Policy and Anesthesia Provider Supply in Rural Communities

Rural communities have significantly fewer certified registered nurse anesthetists and fewer anesthesiologists than nonrural communities.

Report

Identification of Alternative Physician Assistant Recertification Models: An Analysis of the Landscape and Evidence Surrounding Approaches to Recertification in the Health Professions

Health professional recertification is meant to demonstrate and foster knowledge and competence. This report assesses recertification requirements for physician assistants, physicians, and advanced practice nurses in the U.S. and elsewhere.

Journal Article

Financial Incentives to Reduce Hospital-Acquired Infections Under Alternative Payment Arrangements

Hospital incentives for investing in patient safety vary by payer and payment configuration. Higher payments provide resources to improve patient safety, but current payment structures may also reduce the willingness of hospitals to invest in patient safety.

Journal Article

Infection Trends in US Nursing Homes, 2006–2013

The Minimum Data Set can help to identify trends in nursing home infections but nursing homes vary in how they define and track infections.

Journal Article

Isolation Precautions Use for Multidrug-Resistant Organism Infection in Nursing Homes

To examine factors associated with isolation precaution use in nursing home (NH) residents with multidrug-resistant organism (MDRO) infection.

Journal Article

The Great American Recession and Forgone Healthcare: Do Widened Disparities Between African-Americans and Whites Remain?

Since the end of the Great Recession, disparities in the likelihood of forgone care have increased from pre-recession levels between African-Americans and whites; this may be a result of issues related to access, cost, and quality.

Journal Article

Nursing Homes in States with Infection Control Training or Infection Reporting Have Reduced Infection Control Deficiency Citations

The objective of this study is to determine associations between specific state DOH activities and NH IC citation rates.