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This report describes RAND's Health Care Payment and Delivery Simulation Model (PADSIM), developed to more effectively analyze the impacts of current and future reforms to provider payment policy. These reforms include changes in how much providers are paid for their services and changes in the degree to which payments are determined by the volume of services. PADSIM offers a systematic framework for quantifying such reforms and providers' responses to them. This report discusses the motivation for building the model, describes its conceptual underpinnings, and provides an overview of how to operate the model.

Table of Contents

  • Chapter One

    Introduction

  • Chapter Two

    PADSIM's Structure and Key Concepts

  • Chapter Three

    Historical Data: Methods and Sources

  • Chapter Four

    Operating PADSIM

  • Chapter Five

    Examples of Simulation Results

The research described in this report was performed under the auspices of RAND Health.

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