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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.

Research Brief

New York's Proposed Single-Payer Plan Could Expand Coverage Without More Spending

Aug 1, 2018

The New York Health Act could provide insurance to all New York State residents without increasing overall spending if administrative costs are reduced and growth in provider payment rates is restrained. New taxes, instead of premiums and out-of-pocket payments, would finance the program.
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

Evaluation of the Global Payment Program: Midpoint Report

The Global Payment Program seeks to improve health care for California's uninsured by providing funds for both traditional and non-traditional services, settings, and providers. This is the report of the midpoint evaluation of the program.

Sep 7, 2018
Report

Report

RAND Medicare Advantage (MA) and Part D Contract Star Ratings Technical Expert Panel May 31st 2018 Meeting

On May 31, 2018, the RAND Corporation convened a Technical Expert Panel (TEP) to gather input on analyses that could be conducted to further enhance the Medicare Advantage (MA) and Part D Contract Star Ratings program.

Aug 23, 2018
Commentary

Understanding the Impact of the Elimination of the Individual Mandate Penalty

Starting in 2019, the Affordable Care Act's individual mandate penalty will be eliminated, effectively ending the law's requirement that most people have health insurance. While declines in coverage and increases in premiums are likely, the magnitudes of these effects are highly uncertain.

Aug 10, 2018
Commentary

Potential Benefits for Most New Yorkers but No Free Lunch: Tough Decisions for Single-Payer Health Care in New York

A single-payer plan in New York would shift health care spending to the state instead of private insurers. As with any far-reaching legislation, there are trade-offs. It's important that policymakers consider the impact of the single-payer plan in totality.

Aug 6, 2018
Report

How Would a Single-Payer Option Work for New York State?

A single-payer health care plan could expand coverage to all New York residents, but it would require significant new tax revenue. Overall health care costs would decrease slightly over time if administrative costs are reduced and state officials slow the growth of payments to providers.

Aug 1, 2018
News Release

News Release

Single-Payer Health Plan in New York State Could Cover All Without Increasing Total Health Spending If Cost Growth Slows

A single-payer health care plan could expand coverage for all New York State residents, but would require significant new tax revenue. A plan outlined by the New York Health Act is likely to increase use of health services as more people receive coverage. But overall health care costs would decrease slightly over time if administrative costs are reduced and state officials slow the growth of payments to health care providers.

Aug 1, 2018
Journal Article

Journal Article

Evaluation of the Social Impact Bond Trailblazers in Health and Social Care: Final Report

The Department of Health commissioned an independent evaluation of Social Impact Bond Trailblazers from PIRU, in partnership with RAND Europe, to explore their potential benefits and costs.

Jul 20, 2018
Journal Article

The Effect of Eliminating the ACA's Individual Mandate

Removing the financial penalties associated with the Affordable Care Act's individual mandate may cause enrollment to fall by 2.8 million to 13 million people. It could also result in a 3 to 13 percent increase in bronze plan premiums.

Jul 12, 2018
Commentary

Tax Funding of Health and Social Care Internationally: Does Hypothecation Help?

The case for raising much more money to pay for health care and social care in the United Kingdom over the next few years is strong. Earmarking taxes for public funding of health care or social care is worth consideration.

Jul 10, 2018
Journal Article

Journal Article

Identifying Options for Funding the NHS and Social Care in the UK: International Evidence

As part of a larger project identifying feasible options for the future funding of health & social care in the UK, this paper explores how 16 high-income countries have implemented changes to their funding systems to better meet the challenges ahead.

Jul 10, 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 (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

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