Fee-for-Service for Health Care

39 Results

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Research

Jun 29, 2026

Medicaid Prior Authorization and Discontinuation of Buprenorphine

This study assesses the duration of buprenorphine episodes paid by fee-for-service and managed care organization plans with and without prior authorization (PA) in Medicaid.
Research

Feb 25, 2026

Trends in Medicaid Utilization and Financing for Hospitals With Psychiatric Beds

CMS HCRIS data from 2014 to 2023 were analyzed. Two Outcomes were examined: percentage of inpatient psychiatric discharges paid by Medicaid (both fee-for-service and managed care plans) and percentage of inpatient psychiatric days paid by Medicaid.
Research

Jan 16, 2026

Telehealth Vs In-Person Outpatient Mental Health Service Use and Spending Among Medicare Beneficiaries From 2019 to 2023

We examined monthly telehealth and in-person outpatient mental health service utilization and spending rates among Medicare fee-for-service beneficiaries.
Podcast

Oct 27, 2025

Duration 23:44

Critical Condition: How to Save the ER

Emergency care as we know it is at risk. What’s driving this crisis? And what will it take to keep America's emergency room doors open?
Research

Jul 2, 2025

Access to Medication Treatment for Opioid Use Disorder in Fee-for-Service Medicare

This study examines changes in receipt of medications for opioid use disorder (MOUD) for fee-for-service Medicare beneficiaries diagnosed with opioid use disorder from 2018 to 2020 and by their residence's urbanicity.
Press

Apr 7, 2025

Viability of Hospital-Based Emergency Care in U.S. Faces Peril; Reforms Needed to Boost Payments

The viability of hospital-based emergency care in the United States is at risk, threatened by issues such as patients with increasingly complex needs and falling payments for physicians.
Research

Apr 7, 2025

Strategies for Sustaining Emergency Care in the United States

The authors assess the current value of emergency care in the United States, evaluate challenges to sustaining emergency care, measure trends in emergency care payment, and identify alternate funding strategies for emergency care.
Research

Feb 5, 2025

Rates of Disenrollment From Medicare Advantage Plans Are Higher for Racial/Ethnic Minority Beneficiaries

The objective of this study was to investigate differences in rates of voluntary disenrollment from Medicare Advantage plans by race/ethnicity.
Research

Feb 3, 2025

Building Provider Networks for Enrollees in Both Medicare and Medi-Cal

Provider networks gaps could affect California's new exclusively aligned enrollment dual-eligible special needs plans. Only 60% of clinicians serving fee-for-service Medicare dual-eligible enrollees are in Medi-Cal provider networks.
Research

Oct 23, 2024

Personal Physician Access by Preferred Language Among Medicare Advantage and Medicare Fee-for-Service Older Adults

We used data from the 2022 MCAHPS survey to update our understanding of patterns in having a personal physician among Medicare enrollees.
Research

Oct 16, 2024

Financial Interventions to Improve Screening in Primary Care: A Systematic Review

Financial mechanisms can enhance screening rates with evidence strongest for KPI payments to both practices and individual providers. Future research should explore the relationship between financial interventions and quality of care.
Research

Sep 9, 2024

Medicaid Managed Care and Pediatric Dental Emergency Department Visits

In this cohort study of nontraumatic dental emergency department visits among children enrolled in Florida Medicaid, the introduction of a managed care plan was associated with an increase in the number of pediatric emergency department visits.

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Fee-for-Service for Health Care

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Medicaid Prior Authorization and Discontinuation of Buprenorphine

Trends in Medicaid Utilization and Financing for Hospitals With Psychiatric Beds

Telehealth Vs In-Person Outpatient Mental Health Service Use and Spending Among Medicare Beneficiaries From 2019 to 2023

Critical Condition: How to Save the ER

Access to Medication Treatment for Opioid Use Disorder in Fee-for-Service Medicare

Viability of Hospital-Based Emergency Care in U.S. Faces Peril; Reforms Needed to Boost Payments

Strategies for Sustaining Emergency Care in the United States

Rates of Disenrollment From Medicare Advantage Plans Are Higher for Racial/Ethnic Minority Beneficiaries

Building Provider Networks for Enrollees in Both Medicare and Medi-Cal

Personal Physician Access by Preferred Language Among Medicare Advantage and Medicare Fee-for-Service Older Adults

Financial Interventions to Improve Screening in Primary Care: A Systematic Review

Medicaid Managed Care and Pediatric Dental Emergency Department Visits

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Fee-for-Service for Health Care

Fee-for-Service for Health Care

Related Topics

Explore RAND’s Work on this Topic

Error

Medicaid Prior Authorization and Discontinuation of Buprenorphine

Trends in Medicaid Utilization and Financing for Hospitals With Psychiatric Beds

Telehealth Vs In-Person Outpatient Mental Health Service Use and Spending Among Medicare Beneficiaries From 2019 to 2023

Critical Condition: How to Save the ER

Access to Medication Treatment for Opioid Use Disorder in Fee-for-Service Medicare

Viability of Hospital-Based Emergency Care in U.S. Faces Peril; Reforms Needed to Boost Payments

Strategies for Sustaining Emergency Care in the United States

Rates of Disenrollment From Medicare Advantage Plans Are Higher for Racial/Ethnic Minority Beneficiaries

Building Provider Networks for Enrollees in Both Medicare and Medi-Cal

Personal Physician Access by Preferred Language Among Medicare Advantage and Medicare Fee-for-Service Older Adults

Financial Interventions to Improve Screening in Primary Care: A Systematic Review

Medicaid Managed Care and Pediatric Dental Emergency Department Visits

Oops! An unexpected error has occurred.