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Health Care Delivery Approaches

commentary

The Solution to Telemedicine Prescribing of Buprenorphine Seems Clear to Everyone but DEA
For more than a decade, Congress, clinicians, and policymakers have been requesting implementation of a special registration pathway that would allow registered clinicians to prescribe buprenorphine without an in-person visit requirement. It's clear to us that the time to implement the pathway is now.
Sep 5, 2023

commentary

Avoiding Common Pitfalls Before Thinking About 'What Good Looks Like' in Digital Transformation of Adult Social Care
When implementing the What Good Looks Like framework to guide digital transformation in adult social care, it will be important not to ignore common problems that often frustrate the introduction and implementation of new technology.
Jun 14, 2023
commentary

A Potential Backslide in Mental Health Care for Millions of Americans
The expiration of the COVID-19 Public Health Emergency declaration will have broad-sweeping effects, and one of the most significant is little known: It could begin undoing the expansion of mental health care access for millions of Americans.
Apr 18, 2023
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RAND Experts on Veteran Mental Health Respond to the White House Mental Health Research Priorities
The White House identified eight research priorities to better manage America's current mental health crisis. RAND researchers highlight why each area is critical for veteran mental health and how RAND is contributing to address them.
Feb 20, 2023
commentary

Informing the Debate About Telemedicine Reimbursement: What Do We Need to Know?
At the start of the COVID-19 pandemic, U.S. payers and policymakers broadly expanded payment for telemedicine services and relaxed many regulations. To decide the long-term fate of pandemic-era temporary telemedicine, policymakers should consider the effects of telemedicine on health care spending, patient outcomes, and health equity.
Nov 21, 2022
commentary

Tele-Palliative Care Among Underserved Patients: Considerations for Future Research to Ensure Equity for All Patients
Underserved patients have been historically marginalized in health care and may experience extensive barriers to palliative care. Telehealth may be a particularly promising mode of palliative care by engaging patients across long distances and facilitating access to existing palliative care resources.
Aug 31, 2022
commentary

Telemedicine Abortion? It's Not as Easy as It Sounds
The Supreme Court decision to overturn Roe v. Wade has providers and health advocates strategizing about how to provide more abortions where it is still legal. Expanding virtual medical visits is one popular idea. Policymakers and clinics could take steps to make telemedicine better understood, easier to use, and more equitable.
Aug 19, 2022
commentary

Could the Move Toward Zoom and Other Collaboration Technologies Due to the Pandemic Change the Very Makeup of Populations?
Collaborative technologies such as Zoom and Microsoft Teams have transformed how we work, visit the doctor, and go to school. But can they also shift demographic trends in migration, fertility, morbidity, and mortality? And if so, how?
Dec 17, 2021
commentary

Rethinking the Impact of Audio-Only Visits on Health Equity
New pandemic-era flexibility that allowed audio-only health visits to be routinely reimbursed as telehealth may be leading to substandard care for those it was meant to serve. It may be time to consider limiting audio-only visits in the pursuit of health equity.
Dec 17, 2021
commentary

How COVID-19 Lessons Can Transform U.S. Mental Health Care
It would be a powerful conclusion to the pandemic if Americans reimagined a health system that was resilient against future threats, including the resulting psychological trauma. Policymakers have the opportunity now to cut short the pandemic's long tail of mental illness by taking decisive action.
Jun 2, 2021
commentary

No Patient Left Behind: Considering Equitable Distribution of Telehealth
The pandemic has revealed telemedicine's potential to improve health care delivery and access. Telemedicine could help reach patients who would normally be excluded or alienated by the traditional structure of the health system.
Apr 20, 2021
commentary

The Doctor Will Call Me Maybe: The Uncertain Future of Audio-Only Visits and Why We Need Them to Address Disparities
Audio-only health care visits have been instrumental in maintaining access to care during the pandemic. Despite this, coverage for audio-only visits is likely temporary. Devaluing and prematurely casting off a key telemedicine modality could mean the difference between a needed doctor visit and no visit at all.
Mar 12, 2021
essay

Giving Family Caregivers a Voice
One in every five American adults is caring for a loved one in need. Too often, they have to fight to make their voices heard in a health care system that doesn't always see them as the partners in care they can be. More could be done to integrate them into patients' health care teams.
Mar 10, 2021
commentary

Patients Log On to See Their Own Doctors During the Pandemic
Telehealth use has skyrocketed during the COVID-19 pandemic. Can this form of high-quality, low-cost care be maintained over the long term? As discussion of post-pandemic policies begins, lessons from patients' use of telehealth will provide valuable guidance.
Jan 7, 2021
commentary

Can Primary Care Networks and Models of Vertical Integration Coexist in the NHS?
Vertical integration with a hospital helps primary care practices that might otherwise have closed to remain in operation. It thereby creates the opportunity for the continued development and improvement of local primary care for patients.
Dec 7, 2020
commentary

Primary Care Networks in a Time of Pandemic
Primary care networks in the UK bring together general practices and community providers to develop new services for patients and to provide better integration of health and social care services and sustainability in primary care. While still relatively new, their trajectory is likely to be influenced by COVID-19–related adaptations they have made over the course of the pandemic.
Nov 11, 2020

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Quoted

While the Kursk offensive is a first step, Ukraine will need to offer more if it wants to maintain the momentum that it now enjoys. Perhaps most importantly, it needs to find a new strategic storyline. Ukrainian leaders need to convince both their constituencies at home and backers abroad that they have a plan to win the war.

Raphael S. Cohen

Director, Strategy and Doctrine Program, RAND Project AIR FORCE, and Director of the Pardee RAND Graduate School National Security Program
Source: Foreign Policy
As someone who studies race and inequality, I really want answers and solutions for people who have been essentially deprived of the full rights of American citizenship. That's really what drives my work at RAND.

Jessica Welburn Paige

Behavioral/Social Scientist
Source: RAND Review