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.

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What's Hot Now

  • 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

    Report

    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

    Report

    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.

  • Close up of a woman pushing a patient in a wheelchair, seen from behind, photo by Piyapong Thongcharoen/Getty Images

    Report

    Using Claims-Based Estimates to Revalue Health Care Procedures

    Jul 12, 2019

    Medicare payment for many health care procedures covers not just the procedure itself but also most post-operative care during a fixed "global period." New claims-based data could be used to adjust valuation for procedures with varying global periods.

Browse All RAND Research on Health Care Payment Approaches