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Health Care Financing

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Health care systems may be financed in various ways, including through government funding, taxation, out-of-pocket payments, private insurance, and donations or voluntary aid. RAND research explores the effects of corporate and government health care financing policies on such groups as patients, businesses, hospitals, and physician-providers.

Project

Small Ideas for Saving Big Health Care Dollars

Mar 8, 2016

Big proposals to rein in health care spending in the United States have encountered stiff political and organizational resistance. But adopting a combination of smaller ideas could save the U.S. health care system a total of up to $26 billion a year.
Report

Oregon's Options for Financing Health Care

Jan 19, 2017

Federal health care reform had just begun in 2013 when Oregon authorized a study to improve how the state pays for health care. A comparison of the projected impacts and feasibility of four options can help Oregon's stakeholders choose the option that best suits their needs.

Explore Health Care Financing

Report

The Effects of Iowa's Proposed Stopgap Measure on Health Insurance Costs and Coverage

This report uses RAND's COMPARE microsimulation model to estimate the effects of a 1332 waiver application from the state of Iowa. The waiver is designed to stabilize Iowa's Affordable Care Act individual market through a series of modifications.

Oct 17, 2017
Report

Health Sector Reform in the Kurdistan Region — Iraq: Primary Care Management Information System, Physician Dual Practice Finance Reform, and Quality of Care Training

Since 2010, RAND has worked with the Kurdistan Regional Government to improve its health care system. This phase focused on a primary care management information system, physician dual practice reform, and patient safety training.

Oct 5, 2017
Commentary

Savings from a Single-Payer Health System Would Not Be Automatic

Polls have shown increasing public support for a single-payer system in the United States. Yet there is no agreement on how to set up and pay for a single-payer system or even how much it would cost.

Sep 26, 2017
Journal Article

Journal Article

Incentivizing Care Coordination in Managed Care

States with high primary care case management (PCCM) penetration provide more access to coordination of care than states with high HMO penetration.

Sep 15, 2017
Journal Article

Challenges Of Measuring Quality Of Community-Based Programs For Seriously Ill Individuals And Their Families

Quality measures and payment approaches for community-based programs serving seriously ill patients should incorporate core components such as communication, shared decision making, and advance care planning.

Jul 19, 2017
Commentary

Ingredients for Health Care Reform

Despite their differences, the Affordable Care Act and the current proposals to replace it take a similar approach to providing health insurance. What might some alternatives look like? And how could they provide coverage to more Americans?

Jul 10, 2017
Journal Article

What Is Single-Payer Health Care?

Policy discussions of single-payer health system proposals need to account for the substantial variation in how they would change the financing, pooling, purchasing and delivery of health care.

Jun 1, 2017
Report

Report

Financing Health Care in Oregon: Four Policy Options

This presentation describes four options for financing health care for residents of the state of Oregon and compares the projected impacts and feasibility of each option.

May 17, 2017
Journal Article

Journal Article

Lessons Learned from an Integrated MTM Program

A community health center in western Massachusetts offers a model of integrated care, in which pharmacists play key roles in decision making and charting.

May 11, 2017
Journal Article

Journal Article

Have Individual Medical Savings Accounts Accumulated Meaningful Balances After 10 Years of Enrolment? Empirical Evidence from China

China's medical savings accounts have not succeeded in promoting individual savings for medical care, especially among vulnerable groups such as women and the elderly.

May 11, 2017
Multimedia

Repeal, Replace, Repair, or Improve? The Future of the ACA

In this March 2017 congressional briefing, RAND senior economist, Christine Eibner, discusses how individuals and employers will respond to major health care policy changes as the new administration reassesses the Affordable Care Act.

Mar 17, 2017
News Release

News Release

Oregon Has Options to Move Toward Universal Health Coverage; Repeal of the Affordable Care Act Would Make All Options ...

Oregon has options for reforming health care financing to expand coverage and meet broader goals, though they differ in their feasibility, tradeoffs and financing requirements.

Jan 19, 2017
Research Brief

Oregon's Options to Overhaul Health Care Financing: Health Care Reform 2.0?

This analysis of three options to reform health care payment in Oregon (two state-based plans that would ensure coverage for all state residents and a state-sponsored plan offered in Oregon's nongroup market) found benefits and trade-offs for each.

Jan 19, 2017
Report

Modeling Dr. Dynasaur 2.0 Coverage and Finance Proposals: Effects of the Expansion of Vermont's Dr. Dynasaur Program to All Individuals Through Age 25

The authors assessed an expansion of Vermont's Dr. Dynasaur program that would cover all residents through age 25. The current program provides health coverage for children ages 0-18 with family incomes below 317 percent of the federal poverty level.

Jan 18, 2017
Journal Article

Knowledge About Health Insurance and Finance Linked to Higher Rates of Health Coverage

Uninsured individuals who knew more about health insurance and finance were more likely to gain coverage under the ACA. Policies and programs aiming to reduce the numbers of uninsured should consider the financial literacy and health insurance knowledge of the groups they are trying to reach.

Dec 12, 2016
Report

Evaluating the Impact of Policies to Regulate Involuntary Out-of-Network Charges on New Jersey Hospitals

To inform the debate in the New Jersey state legislature, this report analyzes the role of payments for involuntary out-of-network care for New Jersey hospitals' financial performance and simulates the effect of policies to limit such payments.

Nov 22, 2016
News Release

News Release

Knowledge About Health Insurance and Finance Linked to Higher Rates of Health Coverage

Policies and programs aiming to reduce the numbers of uninsured should take into account the financial literacy and health insurance knowledge of the groups they are trying to reach.

Nov 17, 2016
Journal Article

Journal Article

Misclassification Risk of Tier-Based Physician Quality Performance Systems

Current methods for determining whether a provider performs above or below a certain threshold do not always produce accurate results.

Nov 8, 2016
Journal Article

Journal Article

Differences in Nursing Home Quality Between Medicare Advantage and Traditional Medicare Patients

Researchers found little difference in the quality of nursing home care provided to Medicare enrollees in managed care and those enrolled in traditional fee-for-service nursing homes.

Oct 18, 2016

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