How individuals access and experience care depends on far more than health insurance. At the most basic level are questions about who will provide care and how new approaches to providing care can increase access, make care more convenient, more efficient, and less costly.
RAND Health Care is evaluating multiple experiments with these new approaches to learn how well they perform and what might improve them.
A rapidly aging U.S. population with complex care needs will likely accelerate emphasis on palliative care services. A review of palliative care research found substantial evidence to support clinical practice guidelines and was incorporated into the new edition of the guidelines.
The U.S. Department of Defense (DoD) and U.S. Department of Veterans Affairs (VA) both use private-sector contracts—known as "purchased care"—that govern how beneficiaries see community-based health providers. How feasible is it to integrate the VA and DoD approaches to purchased care?
It is difficult for physicians to keep up with changing payment models, navigate complexity, and invest in data and reporting. Slowing the rate of change and simplifying payment models can help physicians improve patient care and earn financial benefits.
Physician practice engagement with alternative payment models (APMs) would be enhanced by simpler APMs, a slower pace of change, greater support for new capabilities and timely data, and reexamination of practice response to APMs with financial risk.
Efforts to integrate substance use disorder treatment into primary care are growing. Following a multi-year implementation intervention, access to external funding and staff support appeared to be critical elements for sustaining care over time.
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