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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

Report

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

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.

Apr 19, 2018
Journal Article

Journal Article

Loss Function-Based Evaluation of Physician Report Cards

Report card designers should consider designs that are consistent with policy goals and are implementable.

Apr 17, 2018
Report

Practice Expense Methodology and Data Collection Research and Analysis

This report proposes alternative methodologies for determining the practice expense (PE) component of the Medicare Physician Fee Schedule in order to avoid misvalued payment rates. A main concern is the allocation of indirect practice costs.

Apr 11, 2018
Report

Report

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

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.

Mar 14, 2018
Journal Article

Journal Article

Measuring Patient-Centeredness of Care for Seriously Ill Individuals: Challenges and Opportunities for Accountability Initiatives

High quality care for seriously ill patients could be promoted by developing a nationally endorsed survey instrument that assesses patient and family experiences of serious illness care, an administrative data structure to identify the most knowledgeable respondents for the survey, and a tool kit of quality improvement approaches.

Dec 14, 2017
Research Brief

Strengthening Health Care in the Kurdistan Region of Iraq

Since 2010, RAND researchers have 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 25, 2017
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

What Defines a High-Performing Health System: A Systematic Review

Lack of a consistent definition of a high-performing health system severely hampers our ability to compare delivery systems based on performance.

Aug 15, 2017
Journal Article

Journal Article

Medicare Advantage Associated With More Racial Disparity Than Traditional Medicare For Hospital Readmissions

Risk-reduction strategies adopted by Medicare Advantage plans to prevent hospital readmissions have not succeeded in lowering the markedly higher rates of readmission for black patients compared to white patients.

Jul 26, 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
Journal Article

Journal Article

End-of-Life Care Planning in Accountable Care Organizations: Associations with Organizational Characteristics and Capabilities

About 60 % of Accountable Care Organizations (ACOs) have some kind of end-of-life care planning processes in place, but only about 20% have established advanced planning processes.

Jul 18, 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

Journal Article

High-Price And Low-Price Physician Practices Do Not Differ Significantly On Care Quality Or Efficiency

Higher-priced providers do not necessarily provide higher-quality care.

Jun 6, 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
Journal Article

Journal Article

Association Between Hospitals' Engagement in Value-Based Reforms and Readmission Reduction in the Hospital Readmission Reduction Program

Hospitals participating in one or more voluntary Medicare value-based reform programs were less likely to readmit patients within 30 days of discharge than non-participating hospitals.

May 23, 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

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

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