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Health Care Organization and Administration

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The administration and organization of health care systems, hospital networks, and other health care settings can greatly affect health outcomes, quality of care, and patient satisfaction. RAND researchers have examined care coordination and integration, the organization and administration of military health care, and how new models of payment and care delivery under health care reform might shape the way health care systems and settings are organized and managed.

Tool

Create Your Own Hospital Ratings

Aug 29, 2018

The Personalized Hospital Performance Report Card lets you review, customize, and compare hospitals across the United States. Create your own custom ratings based on the hospital performance areas that are most important to you.
Report

Recommendations for Improving Access to Primary Care

Aug 31, 2018

Access to primary care is critical for ensuring population health. Evidence-based priorities can help health care organizations improve access and access management.

Explore Health Care Organization and Administration

Research Brief

Improving Behavioral Health Care for Remote Service Members: Three Key Priorities

Service members who are geographically remote from a military treatment facility may face unique challenges accessing high-quality behavioral health care. RAND research identified three key priority areas for the U.S. Department of Defense.

Apr 5, 2021
News Release

Geographic Barriers to Behavioral Health Care May Put Remote Service Members at Risk

Remote service members may face challenges accessing and receiving high-quality behavioral health care through the Military Health System, putting them at a greater risk for negative outcomes related to behavioral health issues.

Mar 31, 2021
Report

Geographic Barriers to Behavioral Health Care May Put Remote Service Members at Risk

Remote service members with PTSD, depression, or substance use disorder face challenges accessing high-quality behavioral health care through the Military Health System. They see primary care and private-sector providers for such care and are less likely to receive psychotherapy.

Mar 31, 2021
Multimedia

The Role of Data in the Fight Against COVID-19

RAND senior physician policy researcher Mahshid Abir discusses the importance of accurate and efficient reporting of COVID-related outcomes in the fight against COVID-19.

Mar 22, 2021
Blog

Game Theory to Help the Vaccine Rollout, Abraham Accords, Telehealth: RAND Weekly Recap

This weekly recap focuses on how game theory can help the COVID-19 vaccine rollout, potential economic benefits of the Abraham Accords, telemedicine use during the pandemic, and more.

Mar 19, 2021
Journal Article

Who Is (and Isn't) Receiving Telemedicine Care During the COVID-19 Pandemic

COVID-19 has affected telehealth utilization disproportionately. The increase in telemedicine use was greatest among patients in counties with low poverty levels, among patients in metropolitan areas, and among adults compared with children.

Mar 18, 2021
Multimedia

Pros and Cons of Telehealth

RAND senior policy researcher Lori Uscher-Pines presents the pros and cons of telehealth.

Mar 17, 2021
News Release

Growth of Telehealth During Pandemic Occurred Mostly in More Affluent and in Metropolitan Areas

Increases in the use of telehealth during the coronavirus pandemic among people with private insurance has occurred mostly among those who are more affluent and those who live in metropolitan areas.

Mar 15, 2021
Commentary

The Uncertain Future of Audio-Only Visits and Why We Need Them to Address Disparities

Audio-only health care visits have been instrumental in maintaining access to care during the pandemic. Despite this, coverage for audio-only visits is likely temporary. Devaluing and prematurely casting off a key telemedicine modality could mean the difference between a needed doctor visit and no visit at all.

Mar 12, 2021
Journal Article

Perceived Care Coordination Among Permanent Supportive Housing Participants: Evidence from a Managed Care Plan in the United States

The study explored patient perceptions of care coordination in a permanent supportive housing program operated by a large health plan in Southern California.

Mar 12, 2021
Essay

Giving Family Caregivers a Voice

One in every five American adults is caring for a loved one in need. Too often, they have to fight to make their voices heard in a health care system that doesn't always see them as the partners in care they can be. More could be done to integrate them into patients' health care teams.

Mar 10, 2021
Research Brief

10Plan, How Would It Affect Health Care Spending by Consumers and the Federal Government

The 10Plan is a self-pay plan for individuals currently uninsured or covered by a private nongroup health insurance plan. The authors built a microsimulation model to estimate health care spending under both the status quo and the 10Plan.

Feb 25, 2021
Report

Primary Care Productivity: Findings from the Literature and Perspectives from a Stakeholder Panel

To advance understanding of primary care clinic productivity, the authors reviewed relevant literature and convened stakeholders to explore definitions, identify relevant tools, and establish consensus on key aspects of primary care productivity.

Feb 17, 2021
Journal Article

Care Management Reduced Infant Mortality for Medicaid Managed Care Enrollees in Ohio

The Ohio Department of Medicaid introduced requirements to be delivered by Medicaid managed care organizations (MCOs). This study evaluated the impact of care management on reducing infant mortality in the largest Medicaid MCO in Ohio.

Feb 12, 2021
Journal Article

What Drives Greater Assimilation of Telestroke in Emergency Departments?

Although many emergency departments (EDs) have telestroke capacity, it is unclear why some EDs consistently use telestroke and others do not. We compared the characteristics and practices of EDs with robust and low assimilation of telestroke.

Feb 10, 2021
Blog

Unemployment Insurance, Domestic Extremists, Housing Insecurity: RAND Weekly Recap

This weekly recap focuses on what the pandemic has revealed about America's unemployment system, why stopping domestic extremism will be difficult, how housing insecurity may affect sleep, and more.

Feb 5, 2021
Journal Article

Telehealth Use Among Safety-Net Organizations in California During the COVID-19 Pandemic

During the COVID-19 pandemic, visit volume at a sample of FQHCs declined modestly for primary care visits and remained stable for behavioral health visits because telehealth visits replaced in-person visits.

Feb 4, 2021
News Release

Nearly All Telehealth Appointments at Clinics for Lower-Income Americans Were Audio-Only, Raising Questions About Quality and Equity

Telehealth use has surged during the pandemic at clinics that serve lower-income Americans, which allowed the clinics to maintain access to care. But most visits have been audio-only, which may pose challenges if payers consider dropping reimbursement for such services after the pandemic.

Feb 2, 2021
Journal Article

Changes in Health Services Use Among Commercially Insured US Populations During the COVID-19 Pandemic

This study found that during the initial phase of the COVID-19 epidemic in March and April of 2020, patients significantly reduced use of preventive and elective care and increased use of telemedicine but not enough to offset reductions in in-person care.

Jan 26, 2021
Report

The 10Plan: An Alternative Approach to Health Care Financing

The 10Plan would require individuals to pay a copayment for each encounter but no premiums up front. They'd have Medicare rates, and could pay cash or borrow from the government at a low interest rate to pay for services. How would health care spending and federal costs change under the plan?

Jan 25, 2021

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RAND Topic:
Health Care Organization and Administration

Topic Synonyms:
Health Care Organizations

Research conducted by

RAND Health Care