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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  • 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.

  • Woman at a conference table with her back to the viewer, talking to a group of people in front of her


    Enhancing the Star Ratings Program

    Jan 18, 2019

    RAND convened a Technical Expert Panel to assist with analysis of, and enhancements to, the Medicare Advantage (MA) and Part D Contract Star Ratings program.

  • A 28th Medical Support Squadron pharmacy technician counts pills


    Integrating Department of Defense and Department of Veterans Affairs Purchased Care

    Nov 26, 2018

    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?

Browse All RAND Research on Health Care Payment Approaches