Paying for Care

Over the last four decades, both the public and private sectors have experimented with payment approaches designed to change provider behavior, motivating providers to deliver better care at lower cost.

Since the RAND Health Insurance Experiment, RAND Health Care has led the way in efforts to understand the links between physician payment, quality of care, and system cost.

Read More About Paying for Care
  • Medicare payments summary with paperwork, photo by courtneyk/Getty Images

    Apr 15, 2019

    Primary Care Services Account for a Small Share of Medicare Spending

    Care provided by primary care practitioners accounts for a small fraction of total spending among Medicare beneficiaries. Depending on the definition used, primary care spending represents 2.12% to 4.88% of total medical and prescription spending by Parts A, B and D of the Medicare program.

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  • One hundred dollar bill puzzle pieces, photo by gazanfer/Getty Images


    Review and Evaluation of the Substance Abuse, Mental Health, and Homelessness Grant Formulas

    Jun 19, 2019

    The formulas for distributing funds to states under three block grants (the Community Mental Health Services Block Grant, the Substance Abuse Prevention and Treatment Block Grant, and the Projects for Assistance in Transition from Homelessness program) have not been updated since 1992. RAND researchers conducted this congressionally mandated study to determine whether the formulas should be modified.

  • Stethoscope on insurance policy with medical insurance, selective focus, photo by sodawhiskey/Adobe Stock


    Effects of Alternative Insurer Responses to Discontinued Federal Cost-Sharing Reduction Payments

    Jun 3, 2019

    Under the Affordable Care Act, insurers are required to offer cost-sharing reductions (CSRs). The federal government is no longer covering these insurer costs, so most states and insurers have increased the costs of silver premiums. What are the potential effects of a policy change that would disallow this practice?

  • Doctor sitting at his desk in his office, photo by SolStock/Getty Images


    Rural Physicians' Perspectives on the Medicare Quality Payment Program

    Mar 5, 2019

    The Centers for Medicare & Medicaid Services recently launched its Quality Payment Program (QPP), which changes how physicians are paid under Medicare. Researchers interviewed rural physicians to determine if their practices could successfully participate and how the program could be modified to support small rural practices.

  • Jodi Liu discusses the potential impacts of single-payer health care.


    The Potential Impacts of Single-Payer Health Care

    Jan 23, 2019

    Controlling costs while improving health care access dominates policy debates in Congress. In this Congressional Briefing, Jodi Liu discusses what policymakers need to know about "Medicare-for-All" and other single-payer proposals, and their likely effects on cost and access.

Browse All RAND Research on Health Care Payment Approaches