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 has led the way in efforts to understand the links between physician payment, quality of care, and system cost.
There are many challenges in measuring quality of care for seriously ill patients. Potential solutions to improve community-based programs that treat these patients include engaging in communication, shared decisionmaking, and advance care planning.
RAND piloted proposed G-codes to determine whether doctors understood and correctly applied the codes. Using vignettes to test coding accuracy, researchers made recommendations for refining coding instructions.