A contingent cash transfer program in Nigeria—in which expectant mothers were given $14 if they used prenatal, delivery, and postnatal services—led to a large increase in the use of such care and a substantial reduction in child deaths.
Jun 22, 2020
Maternal Cash Transfers Led To Increases In Facility Deliveries And Improved Quality Of Delivery Care In Nigeria
A randomized controlled trial in Nigeria evaluated an intervention that paid pregnant women to deliver in a health facility, which led to a 41% increase in facility deliveries. We found improvements in the quality of delivery care and in satisfaction with care.
Jun 4, 2020
Healthcare at the Beginning of Life and Child Survival: Evidence from a Cash Transfer Experiment in Nigeria
We study the effects of a cash transfer program in Nigeria in which households were offered a payment of $14 conditioned on uptake of health services.
India's National Rural Employment Guarantee Scheme, which prioritizes female participation, increased newborn mortality among women eligible to participate. Work-related stresses adversely affect fetal health; however maternal work participation may have positive income effects for older children.
Jan 29, 2019
Medical Care Provided to California's Injured Workers: Monitoring System Performance Using Administrative Data
This report provides a framework for understanding changes in medical spending levels and provides the results from RAND's analysis of Workers' Compensation Information System data for 2007--2012.
May 16, 2018
Ensuring that Nigerian women giving birth have access to health facilities will likely reduce infant mortality.
Going to Scale: Design and Implementation Challenges of a Program to Increase Access to Skilled Birth Attendants in Nigeria
A program to increase the number of skilled birth attendants in Nigeria was hampered by design, implementation and operational challenges.
Jun 13, 2017
Does Price Affect the Demand for Information About New Health Technologies? Evidence from a Field Experiment in Nigeria
We study how pricing subsidies influence the demand for information about a new preventative health technology.
Feb 19, 2016
The Effect of Increasing the Supply of Skilled Health Providers on Pregnancy and Birth Outcomes: Evidence from the Midwives Service Scheme in Nigeria
This study highlights the complexity of improving maternal and child health outcomes in developing countries, and shows that scaling up supply of midwives may not be sufficient on its own.
Persistent Barriers to Care: A Qualitative Study to Understand Women's Experiences in Areas Served by the Midwives Service Scheme in Nigeria
The Nigerian Midwives Service Scheme (MSS) is an ambitious human resources project created in 2009 to address supply side barriers to accessing care.
This study examines the effect of a ban on informal (traditional) birth attendants imposed by the Malawi government in 2007.
Nov 11, 2015
The Better Obstetrics in Rural Nigeria (BORN) Study: Evaluating the Nigerian Midwives Service Scheme
Describes an evaluation of the impact of the Midwives Service Scheme, a government program introduced in 2009, which is intended to increase women's access to skilled care in rural underserved areas of Nigeria.
Sep 15, 2015
The Better Obstetrics in Rural Nigeria (BORN) Study: An Impact Evaluation of the Nigerian Midwives Service Scheme
Evaluates the impact of the Midwives Service Scheme (MSS), a government program introduced in 2009 to increase access to skilled care in rural underserved areas of Nigeria.
Sep 15, 2015
Studies the effect of a ban on informal (traditional) birth attendants imposed by the Malawi government.
Aug 18, 2015
Explores if policies promoting institutional deliveries in developing countries can actually reduce newborn deaths.
Feb 13, 2015
Development of a Model for the Validation of Work Relative Value Units for the Medicare Physician Fee Schedule
The Centers for Medicare & Medicaid Services (CMS) uses the resource-based relative value scale to pay physicians and other practitioners for services. CMS asked RAND to develop a model to validate physician work values using external data sources.
Jan 16, 2015
The current process used by the Centers for Medicare & Medicaid Services for valuing physician work is based on physician survey responses. RAND researchers examined the feasibility of developing a model based instead on external data sources.
Jan 16, 2015
Can pro-social preferences lead to dishonest or unethical behavior? Lab evidence suggests that it can. In this paper, we document some of the first field evidence of this phenomenon.
Jul 23, 2014
Implementing a Resource-Based Relative Value Scale Fee Schedule for Physician Services: An Assessment of Policy Options for the California Workers' Compensation Program
RAND researchers used 2011 medical data to examine the impact of implementing a resource-based relative value scale to pay for physician services under the California workers' compensation system. This report details their findings.
Apr 28, 2014
Fee Schedule Options for Services Furnished by Hospitals to Outpatients under the California Workers' Compensation Program
This report presents an analyses of the policy options regarding allowable amounts for certain facility services provided by hospitals on an outpatient basis under California's workers' compensation system.
Feb 7, 2014
In this paper, we provide some of the first estimates of the impact of raising health workers salaries on migration.
Health worker migration is an issue of first order concern in global health policy circles and continues to be the subject of much policy debate. In this paper, we contribute to the discussion by studying the impact of economic conditions on the migration of physicians from developing countries.
Dec 1, 2013
The Center for Medicare and Medicaid Innovation has funded 108 projects implementing new service delivery or payment models intended to deliver lower cost through improving quality of care. This report describes a strategy for evaluating the results.
Aug 15, 2013
Increased access to antiretroviral therapy (ART) in developing countries over the last decade is believed to have contributed to reductions in HIV transmission and improvements in life expectancy.
Jul 10, 2013
This report evaluates the evolving role of hospital emergency departments (EDs) in the U.S. health care system. EDs are being increasingly used for complex workups and ED doctors are the principal decisionmakers for half of all hospital admissions.
May 20, 2013
This brief summarizes a RAND analysis of the role of that hospital emergency departments may come to play in either contributing to or reducing the rising costs of health care.
May 20, 2013
We use 4 years of data from the retiree health benefits program of the University of Michigan to estimate the effect of price on the health plan choices of Medicare beneficiaries.
Policies to increase preventive testing in developing countries should include subsidies towards treatment costs.
Evaluating the Impact of Prevention and Early Intervention Activities on the Mental Health of California’s Population
This report describes a collection of frameworks for evaluating prevention and early intervention funding for mental health services for the California population.
Oct 9, 2012
We revisit the question of price elasticity of employer-sponsored insurance (ESI) take-up by directly examining changes in the take-up of ESI at a large firm in response to exogenous changes in employee premium contributions.
This study examines how exercise responds to plausibly exogenous price shocks, in the form of weather conditions.
Jun 1, 2009
Insurers' Competitive Strategy and Enrollment in Newly Offered Preferred Provider Organizations (PPOs)
While early growth in preferred provider organizations (PPOs) coincided with growth of managed care generally, recent expansion has come primarily at the expense of other managed care plans.
Dec 1, 2007