Health care coverage protects individuals against the financial risk that might result from spending on health care services. In the United States, coverage may take the form of insurance offered by private companies and made available to individuals through employers or purchased directly. The government also provides coverage for certain populations via programs such as Medicare or Medicaid. RAND research on health care coverage dates from the RAND Health Insurance Experiment (HIE). Conducted in the 1970s and early 1980s, the HIE remains the only long-term, experimental study of cost sharing and its effect on health care utilization and spending, quality of care, and health. Since then, RAND studies have examined multiple dimensions of coverage, including the effects of premium costs on health care use, the cost and potential health effects of new insurance products such as high-deductible health plans, the challenges faced by small businesses in providing coverage to employees, the groups most at risk for being uninsured, state experiments with insuring the uninsured, coverage for behavioral health, and coverage for prescription drugs.
This intervention manual for the Collaboration Leading to Addiction Treatment and Recovery from Other Stresses research study advances a collaborative care model of primary care–centered treatment for patients who have co-occurring opioid use disorder with major depressive disorder and/or posttraumatic stress disorder.
In this analysis, we built a Monte Carlo Markov Chain microsimulation model using estimates and parameters from the evidence on standard treatment for multiple myeloma and chimeric antigen receptor T-cell therapies.
The objective of this paper is to explore how high-risk opioid analgesic prescribing varies by payer type among patients seeing the same prescriber and identify clinician characteristics associated with variable prescribing.
Re-coaching improved patient experience more than initial coaching, suggesting the reactivation of knowledge from initial coaching. However, re-coaching gains also eroded. Coaching should occur every 6–12 months to maintain behaviors and scores.
Leveraging unique data sources and difference-in-differences designs, examines the largest private equity hospital takeover in history.
This Perspective is intended to help policymakers and other stakeholders assess policy evaluation studies, with a focus on health policy studies at the state level.
Low income is associated with lower performance on behavioral health measures, but associations differ across racial groups. Improving care integration and addressing barriers to care may improve equity across income levels.
Clinicians who treated patients with opioid use disorder reported less use of telemedicine in 2022 than in 2020. More than three-quarters of survey respondents used digital equity strategies to help patients overcome barriers to video visits.
This paper performs a large-scale optimization exercise to find optimal non-pharmaceutical pandemic response strategies.
We conducted a discrete choice experiment on preferences for HIV pre-exposure prophylaxis among gay, bisexual, and other men who have sex with men.
Researchers conducted a review of U.S. regulations and statutes between 2005 and 2019 related to medications for opioid use disorder to identify the frequency and types of prior authorization prohibitions in state laws.
This study assesses the association between traumatic stress symptoms and substance use treatment outcomes among trauma-exposed adolescents, using methods to reduce potential confounding from factors such as baseline substance use severity.
This study helps quantify the extent of diagnostic and treatment service gaps for opioid use disorder and co-occurring mental health disorders in primary care settings serving rural and socioeconomically disadvantaged patients in New Mexico.
We designed a patient- and provider-facing intervention to improve medical test conversations.
We estimate the average direct medical expenditures for essential tremor using Medicare claims data. Beneficiaries have $1068 more annual expenditures relative to comparisons. This aggregates to $1.5–$5.4 billion in additional annual costs.
In 2008–2017, 15–18% of U.S. primary care practices sought or maintained patient-centered medical home recognition. We interviewed a sample of 105 of these practices to determine why patient experience surveys were chosen.
To ensure fair comparison of serious illness programs, quality measure scores should be case-mix adjusted for variables that influence patients' reports about care quality, but are not under the control of the program administering care.
This report presents an evaluation of California's psychiatric bed needs in 2021 and the coming years. California, like many states, is confronting a psychiatric bed shortage. To strategically build capacity, the state must understand its psychiatric bed needs. The authors examine California's adult bed capacity, need, and the gap between them at three levels of inpatient and residential care: acute, subacute, and community residential services.
Psychiatrists perceived that most patients are good candidates for telemedicine visits in the context of hybrid care models.
The authors identified 66 AI applications used to perform a wide range of diagnostic, prognostic, and triage functions in the clinical response to COVID-19. Some saw widespread use, though only a few were independently evaluated.
