Health Care Pay for Performance

Journal Article

Dec 11, 2023

Understanding and Preparing for Value-Based Care: A Primer for Behavioral Health Providers

Insurance companies and Medicare/Medicaid are increasingly basing their payment for health care on patients’ outcomes. This value-based care approach is new for behavioral health providers and requires learning new systems and preparing for change.

Journal Article

Oct 20, 2023

Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Final Evaluation Report

Presents findings from a test of the Million Hearts model for CMS through a large, randomized trial, including hundreds of thousands of beneficiaries across the United States of the Million Hearts model from 2017 to 2021.

Report

Jul 31, 2023

Construction worker checking the tire of a truck with several employees talking in the background, photo by ProfessionalStudioImages/Getty Images

Alternative Payment Models for California's Workers' Compensation System: A Review of Issues and Possible Next Steps

The authors consider possible alternative payment models for use in the California workers' compensation (WC) system, including discussion of the unique constraints and factors embedded within the California WC environment.

Journal Article

Oct 25, 2022

Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Fourth Annual Report

In this model, CMS pays participating organizations for assessing each of their eligible Medicare beneficiary's risk of having a heart attack or stroke over the next 10 years and for reducing CVD risk among high-risk beneficiaries.

Journal Article

Oct 25, 2022

Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Third Annual Report

In its first three years, the Million Hearts® Model improved cardiovascular preventive care, but did not yet reduce observed heart attacks and strokes or lower Medicare spending.

Journal Article

Aug 23, 2022

Graphs overlaid on an image of a stethoscope and a person typing on a laptop, photo by ipopba/Getty Images

Predicting Race And Ethnicity To Ensure Equitable Algorithms For Health Care Decision Making

We describe two applications in which imputation of race and ethnicity can help mitigate potential algorithmic biases: equitable disease screening algorithms using machine learning and equitable pay-for-performance incentives.

Report

Jun 17, 2022

RAND Technical Expert Panel Medicare Advantage (MA) and Part D Contract Star Ratings, February 7, 2022 Meeting

On February 7, 2022, the RAND Corporation convened a Technical Expert Panel web meeting to gather input about the potential development of a measure to capture value-based care arrangements Medicare Advantage organizations have with their contracted providers.

Journal Article

Feb 8, 2022

Doctor consulting with patient, photo by monkeybusinessimages/Getty Images

Physician Compensation Arrangements and Financial Performance Incentives in US Health Systems

This study was a cross-sectional mixed-methods analysis of in-depth multimodal data from 31 POs affiliated with 22 purposefully selected health systems in 4 states. Data were analyzed from June 2019 to September 2020.

Report

Aug 5, 2021

RAND Technical Expert Panel Medicare Advantage (MA) and Part D Contract Star Ratings, May 5, 2021 Meeting

The RAND team gathered input from experts about stratified reporting by Part D low-income subsidy (LIS) and dual eligibility (DE), and disability and assessing social risk factors of Medicare Advantage (MA) and Part D contract beneficiaries.

Journal Article

May 21, 2021

Doctor consulting with an older man in a hospital room, photo by FatCamera/Getty Images

Developing Health Equity Measures

This work identified existing approaches to health equity measurement and evaluated those approaches using input from an expert panel.

Report

Mar 16, 2021

RAND Technical Expert Panel Medicare Advantage (MA) and Part D Contract Star Ratings, November 12, 2020 Meeting

On November 12, 2020, the RAND Corporation convened a Technical Expert Panel (TEP) web meeting to gather input about social risk factors and approaches for ensuring accurate performance measurement.

Report

Mar 16, 2021

RAND Technical Expert Panel Medicare Advantage (MA) and Part D Contract Star Ratings, November 19, 2020 Meeting

On November 19, 2020, the RAND Corporation convened a Technical Expert Panel (TEP) web meeting to gather input about stratified reporting of performance and approaches to reduce disparities in Medicare Advantage (MA) and Part D Contracts.

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Health Care Pay for Performance

Health Care Pay for Performance

Explore RAND’s Work on this Topic

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Understanding and Preparing for Value-Based Care: A Primer for Behavioral Health Providers

Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Final Evaluation Report

Alternative Payment Models for California's Workers' Compensation System: A Review of Issues and Possible Next Steps

Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Fourth Annual Report

Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Third Annual Report

Predicting Race And Ethnicity To Ensure Equitable Algorithms For Health Care Decision Making

RAND Technical Expert Panel Medicare Advantage (MA) and Part D Contract Star Ratings, February 7, 2022 Meeting

Physician Compensation Arrangements and Financial Performance Incentives in US Health Systems

RAND Technical Expert Panel Medicare Advantage (MA) and Part D Contract Star Ratings, May 5, 2021 Meeting

Developing Health Equity Measures

RAND Technical Expert Panel Medicare Advantage (MA) and Part D Contract Star Ratings, November 12, 2020 Meeting

RAND Technical Expert Panel Medicare Advantage (MA) and Part D Contract Star Ratings, November 19, 2020 Meeting

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