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.

What's Hot Now

  • Close up of man using a calculator and review charts, photo by Jirapong Manustrong/Getty Images


    Options for Reinvesting Savings from Restored Federal Cost-Sharing Reduction Payments

    Sep 10, 2019

    Researchers analyzed the effects of using savings from restoring cost-sharing-reduction (CSR) payments under the Affordable Care Act to provide additional insurance subsidies or to finance reinsurance.

  • Group of medical practitioners in a circle, talking, seen from above, photo by Cecilie_Arcurs/Getty Images

    Journal Article

    Identifying High-Performing Health Systems

    Jul 24, 2019

    When it comes to identifying high-performing health systems, what you measure and how you measure it matters.

  • Male doctor filling out medical forms on a clipboard, holding a stethoscope, photo by megaflopp/Getty Images


    Practitioner Survey of Post-Operative Visits

    Jul 12, 2019

    For many surgeries and procedures, Medicare covers a bundle of services, including post-operative visits, during the global period. A practitioner survey of post-operative visits during this period found that visits varied according to the type of procedure. Researchers recommend a combined approach, using surveys and claims data, for assessing the accuracy of payment and valuing procedures.

  • Pen on top of health insurance claim forms, photo by Valeriya/Getty Images


    Examining Claims Data for Post-Operative Visits

    Jul 12, 2019

    Medicare bundles payment for post-operative care into payment for surgical procedures. Reviewing claims data for post-operative visits revealed fewer visits than Medicare assumes in its payment rates and suggests the need to revalue procedures with a global period.

Browse All RAND Research on Health Care Payment Approaches