How individuals access and experience care depends on far more than health insurance. At the most basic level are questions about who will provide care and how new approaches to providing care can increase access, make care more convenient, more efficient, and less costly.
RAND Health is evaluating multiple experiments with these new approaches to learn how well they perform and what might improve them.
Direct-to-consumer telemedicine is a viable way to deliver medical care in the days after a natural disaster. But most people who use such services do so for routine matters, not disaster-caused illnesses.
Efforts to integrate substance use disorder treatment into primary care are growing. Following a multi-year implementation intervention, access to external funding and staff support appeared to be critical elements for sustaining care over time.
In 2008, the Indian Health Service launched a patient-centered medical home (PCMH) initiative to improve the quality of care in its clinics. RAND researchers identified barriers and strategies to assist clinics on the path to PCMH recognition.
Practice Expense (PE) measures do not accurately reflect the changing physician landscape. Using a different valuation process and establishing a mechanism to periodically update cost estimates can improve payment accuracy.