Journal Article
Linking State Health Care Data to Inform Policymaking: Opportunities and Challenges
This report provides additional detail on the objectives of and use cases for APCDs, the current APCD landscape, and implementation challenges that constrain the use of APCDs for some valuable applications.
Jun 29, 2022
Research Brief
COVID-19's Impacts on California's Workers' Compensation System: Evaluating the Effects of Senate Bill 1159
The authors evaluated the effects of COVID-19 claims on the California workers' compensation system and on the payment of workers' compensation benefits, noting patterns created by the presumptions established by Senate Bill 1159.
May 26, 2022
Journal Article
Protecting the Mental and Physical Well-Being of Frontline Health Care Workers During COVID-19: Study Protocol of a Cluster Randomized Controlled Trial
The COVID-19 pandemic has placed health care workers at unprecedented risk of stress, burnout, and moral injury. This paper describes the design of an ongoing cluster randomized controlled trial to compare the effectiveness of Stress First Aid (SFA) to Usual Care (UC) in protecting the well-being of frontline health care workers.
May 17, 2022
Journal Article
Trends In Hospital Prices Paid By Private Health Plans Varied Substantially Across The US
We describe how commercial hospital payment rates changed relative to Medicare rates during 2012–19 and how trends differed by hospital referral region.
Apr 20, 2022
Journal Article
Content and Actionability of Recommendations to Providers After Shadow Coaching
This study aimed to examine the content of the recommendations given to providers aimed at improving provider-patient interactions, characterize these recommendations, and examine their actionability.
Mar 4, 2022
Journal Article
Worker and Employer Experiences with COVID-19 and the California Workers' Compensation System: A Review of the Literature
We conducted a literature review on worker and employer experiences surrounding COVID-19 and worker's compensation, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
Feb 4, 2022
Report
COVID-19 in the California Workers' Compensation System: A Study of COVID-19 Claims and Presumptions Under Senate Bill 1159
The authors evaluate the effects of COVID-19 claims on the California workers' compensation system and on the payment of workers' compensation benefits, noting patterns by industry, occupation, and the presumptions established by Senate Bill 1159.
Dec 29, 2021
Report
New York State 1115 Demonstration Independent Evaluation: Interim Report
This report examines whether two components of New York State's Medicaid Section 1115 Waiver—the Managed Long-Term Care (MLTC) program and the 12-month continuous eligibility policy—have achieved their goals.
Dec 2, 2021
Report
Temporary Safety-Net Policies and Pandemic-Related Insurance Loss in New York State
Researchers assess the importance of temporary provisions relative to long-standing policies in stabilizing health insurance enrollment in New York state despite heavy job loss during the coronavirus disease 2019 pandemic.
Nov 12, 2021
Report
Access to Health Care Among TRICARE-Covered Children
Analyses of survey data allow a comparison between children with TRICARE and other types of insurance, as well as between children who have changed addresses more and less frequently and children with special health care needs and those without.
Nov 8, 2021
Journal Article
Association Between COVID-19 Relief Funds and Hospital Characteristics in the US
CARES Act funds may have disproportionately gone to hospitals that were in a stronger financial situation prior to the pandemic compared to those that were not.
Nov 2, 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.
Nov 1, 2021
Journal Article
Transforming Public Health Data Systems: White Papers to Inform Commission
RWJF commissioned RAND to produce a series of white papers that describe the current landscape, emerging innovations, and opportunities for transforming and transitioning to a new public health data system.
Oct 20, 2021
Journal Article
Toward an Asthma Patient-Reported Outcome Measure for Use in Digital Remote Monitoring
The study sought to develop and test a patient-reported outcome measure (PROM) for suitability in digital remote asthma symptom monitoring to identify uncontrolled asthma.
Sep 22, 2021
Research Brief
First Responder Claims for PTSD in Workers' Compensation: Assessing the Effects of Senate Bill 542 in California
Under California's Senate Bill 542, which creates a legal presumption that posttraumatic stress disorder in firefighters and peace officers is a work-related injury, additional costs to state and local governments could be large but are uncertain.
Sep 20, 2021
Report
Posttraumatic Stress in California's Workers' Compensation System: A Study of Mental Health Presumptions for Firefighters and Peace Officers Under Senate Bill 542
The authors evaluate the prevalence of mental health conditions among first responders in California and discuss policy implications, with a focus on how posttraumatic stress disorder is handled in the state's workers' compensation system.
Sep 20, 2021
Report
A Process Evaluation of Primary Care Behavioral Health Integration in the Military Health System
Research suggests that primary care–behavioral health (PCBH) integration can improve behavioral health outcomes. The authors conducted a process evaluation of the PCBH program in the military health system to inform quality improvement.
Sep 8, 2021
Report
Health Services and Primary Care Research Study: Comprehensive Report
This report provides an independent assessment of the breadth, scope, and impact of health services and primary care research funded by the U.S. Department of Health and Human Services and U.S. Department of Veterans Affairs from FYs 2012 to 2018.
Jul 19, 2021
Journal Article
Provider and Coach Perspectives on Implementing Shadow Coaching to Improve Provider-Patient Interactions
We aimed to characterize lessons and barriers to implementing shadow coaching as a mechanism to improve interactions with patients and change organizational culture.
May 21, 2021
Research Brief
Reducing Hospital Spending: Three Policy Options
This Research Brief summarizes the spending impact of policy options to reduce hospital prices paid by private health plans, outlining design choices and effectiveness levels for each approach.
Apr 21, 2021
Report
Impact of Policy Options for Reducing Hospital Prices Paid by Private Health Plans
The authors analyze the spending impact of policy options to reduce hospital prices paid by private health plans, with various design choices and effectiveness levels for each approach.
Feb 18, 2021
Journal Article
Evaluation of Initial Progress to Implement Common Metrics Across the NIH Clinical and Translational Science Awards (CTSA) Consortium
Mixed-methods evaluation of the implementation of three Common Metrics and the performance improvement framework by The Clinical and Translational Science Awards (CTSA) Consortium.
Oct 2, 2020
Journal Article
Use of Tele–mental Health in Conjunction With In-Person Care: A Qualitative Exploration of Implementation Models
Exploration of implementation models for tele–mental health.
Oct 2, 2020
Journal Article
Some Aspects of Patient Experience Assessed by Practices Undergoing Patient-Centered Medical Home Transformation Are Measured by CAHPS, Others Are Not
Overview of survey items used to assess patient experience and whether those items are on the CAHPS survey or not.
Oct 2, 2020
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.
Aug 4, 2020
Journal Article
Amplifying Stewardship: Characteristics and Trends Stewards Consider When Expanding Equitable Well-Being
This report profiles characteristics of people who are not only impressive stewards, but also are helping to grow the entire field of system stewardship for well-being.
Aug 4, 2020
Journal Article
Nationwide Qualitative Study of Practice Leader Perspectives on What It Takes to Transform Into a Patient-Centered Medical Home
Primary Care Medical Home efforts necessitated support and assistance to practice leaders. Changes include financial incentives,leadership direction and support, and staff with experience with the PCMH application process, implementation, and QI.
Aug 3, 2020
Research Brief
Investing in the Future of Health Care: A Strategic Assessment of Federally Funded Health Services Research and Primary Care Research
Health services research and primary care research portfolios funded by agencies have distinct focus areas, and most overlap is complementary, but there are gaps in research, driven by the complexity and pace of change in the U.S. health system.
Jul 7, 2020
Report
Does the United States Need to Strengthen the System of Care for Infectious Diseases?
RAND researchers consider responses to prior infectious disease outbreaks, identify options that could strengthen the current system of care for rare but serious infectious diseases, and discuss key financial considerations for sustainability.
Feb 7, 2020
Report
Perspectives of Physicians in Small Rural Practices on the Medicare Quality Payment Program
Significant concerns have been raised about the ability of small rural practices to participate in the Centers for Medicare & Medicaid Services' Quality Payment Program. RAND researchers interviewed physicians to investigate these concerns.
Mar 5, 2019
Journal Article
A Clinically Integrated Mhealth App and Practice Model for Collecting Patient-Reported Outcomes Between Visits for Asthma Patients: Implementation and Feasibility
Implementation of a clinically integrated mHealth app and practice model can achieve high patient retention and adherence to guideline-recommended asthma symptom monitoring, while minimally burdening clinicians.
2019
Journal Article
Common Laboratory Results Frequently Misunderstood by a Sample of Mechanical Turk Users
Use of Mechanical Turk to determine how well patients understand common laboratory test results.
2019
Report
Practice Expenses Associated with Comprehensive Primary Care Capabilities
To help the Centers for Medicare & Medicaid Services (CMS) reimburse primary care practices for investing in "comprehensive primary care" capabilities, the authors developed and piloted a method for estimating related practice expenses.
Nov 15, 2018
Report
Defining and Evaluating Patient-Empowered Approaches to Improving Record Matching
This study reviews possible patient-empowered approaches to medical record matching and recommends for further development and pilot testing a three-stage solution that uses mobile phones and app-based functionality.
Aug 22, 2018
Report
Practice Expense Methodology and Data Collection Research and Analysis
This report proposes alternative methodologies for determining the practice expense (PE) component of the Medicare Physician Fee Schedule in order to avoid misvalued payment rates. A main concern is the allocation of indirect practice costs.
Apr 11, 2018