Publications on Health Care Organization and Capacity

RAND Health Care research on the organization and capacity of the health care system takes a broad perspective. Our work has examined how organization affects the system’s ability to provide high-quality care and to use resources efficiently and effectively. Many studies have focused on the link between health system organization and the ability of the public health system to respond to public health emergencies, whether natural or the result of hostile action.

2019

• Addressing Social Determinants of Health Needs of Dually Enrolled Beneficiaries in Medicare Advantage Plans: Findings from Interviews and Case Studies 2019

  Melony E. Sorbero, Ashley M. Kranz, Kathryn E. Bouskill, Rachel Ross, Alina I. Palimaru, Amanda Meyer

  Beneficiaries who are dually enrolled in Medicare and Medicaid are less likely to be enrolled in Medicare Advantage (MA) plans that perform well in the MA Star Rating program than non–dually enrolled beneficiaries. The authors identify the types of services that MA plans implement to meet the needs of dually enrolled and other high-cost, high-need beneficiaries, as well as the types of resources needed to implement these services.

• A Comprehensive Theory of Integration 2019

  Sara J. Singer, Michaela J. Kerrissey, Mark W. Friedberg, Russell S. Phillips

  This article presents a comprehensive theory describing how integrating structures, processes, and people within and across organizations might lead to integrated patient care and improved outcomes, including technical quality, efficiency, patient health, and both patient and provider experience.

2018

• Integrating Department of Defense and Department of Veterans Affairs Purchased Care: Preliminary Feasibility Assessment 2018

  Carrie M. Farmer, Terri Tanielian, Christine Buttorff, Phillip Carter, Samantha Cherney, Erin Lindsey Duffy, Susan D. Hosek, Lisa H. Jaycox, Ammarah Mahmud, Nicholas M. Pace, et al.

  The U.S. Department of Defense and U.S. Department of Veterans Affairs health systems operate purchased care programs that govern how beneficiaries see providers in their communities. This preliminary feasibility assessment examined how an integrated approach to purchasing care could affect access, quality, and costs and identified general legislative, policy, and contractual challenges to implementing such a program.

• Preliminary Feasibility Assessment of DoD-VA Purchased Care Integration 2018

  Carrie M. Farmer, Terri Tanielian, Christine Buttorff, Phillip Carter, Samantha Cherney, Erin Lindsey Duffy, Susan D. Hosek, Lisa H. Jaycox, Ammarah Mahmud, Nicholas M. Pace, et al.

  An integrated approach to purchasing health care for U.S. Department of Defense and U.S. Department of Veterans Affairs could have important implications for access, quality, and costs but could face legislative, policy, or contractual challenges.

• Sustaining Alcohol and Opioid Use Disorder Treatment in Primary Care: A Mixed Methods Study 2018

  Sarah B. Hunter, Allison J. Ober, Colleen M. McCullough, Erik D. Storholm, Praise O. Iyiewuare, Chau Pham, Katherine E. Watkins

  Access to external funding and staff support are two important factors for the sustainability of substance use disorder treatment provision within primary care clinics.

2017

• Sources of Care for Alcohol and Other Drug Problems: The Role of the African American Church 2017

  Eunice C. Wong, Kathryn Pitkin Derose, Jeremy N. V. Miles

  Many Los Angeles-area African American churches provide recovery supports and services for alcohol and other drug (AOD) use and actively connect individuals to formal AOD treatment.

2015

• Population Health Management and the Second Golden Age of Arab Medicine: Promoting Health, Localizing Knowledge Industries, and Diversifying Economies in the GCC Countries 2015

  Soeren Mattke, Lauren E. Hunter, Madeline Magnuson, Aziza Arifkhanova

  The Gulf Cooperation Council countries experience an alarming increase chronic disease, yet their health care systems are ill-prepared to handle that burden. We recommend that they pioneer a health care delivery model based on population health management principles and sophisticated health information technology, rather than copy existing Western models.

2009

• A Policy-Relevant Picture of California's Ambulatory Surgery Centers 2009

  William B. Vogt, John A. Romley

  Examines how California's ambulatory surgical centers (ASCs) compare with hospital outpatient surgery departments and how the state compares with other states in regulating ASCs.

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