Health Care Payment Approaches

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Research

Jul 14, 2026

Expanding Technical and Professional Components to all Medicare Physician Fee Schedule Services

Revising Medicare’s allocation of indirect practice expenses to depend on both physician work and clinical labor for all services would align payments between services with and without separately billable professional and technical components.
Research

Jun 29, 2026

Medicaid Prior Authorization and Discontinuation of Buprenorphine

This study assesses the duration of buprenorphine episodes paid by fee-for-service and managed care organization plans with and without prior authorization (PA) in Medicaid.
Research

Feb 25, 2026

Trends in Medicaid Utilization and Financing for Hospitals With Psychiatric Beds

CMS HCRIS data from 2014 to 2023 were analyzed. Two Outcomes were examined: percentage of inpatient psychiatric discharges paid by Medicaid (both fee-for-service and managed care plans) and percentage of inpatient psychiatric days paid by Medicaid.
Research

Jan 16, 2026

Telehealth Vs In-Person Outpatient Mental Health Service Use and Spending Among Medicare Beneficiaries From 2019 to 2023

We examined monthly telehealth and in-person outpatient mental health service utilization and spending rates among Medicare fee-for-service beneficiaries.
Podcast

Oct 27, 2025

Duration 23:44

Critical Condition: How to Save the ER

Emergency care as we know it is at risk. What’s driving this crisis? And what will it take to keep America's emergency room doors open?
Expert Insights

Aug 19, 2025

Veteran Access to Multiple Forms of Health Care Coverage: Veterans' Issues in Focus

Many U.S. veterans enrolled with the Veterans Health Administration (VHA) also have other health care coverage. The author discusses why, how health insurance interacts with VHA, and how it may result in overpayments for health coverage and care.
Research

Jul 2, 2025

Access to Medication Treatment for Opioid Use Disorder in Fee-for-Service Medicare

This study examines changes in receipt of medications for opioid use disorder (MOUD) for fee-for-service Medicare beneficiaries diagnosed with opioid use disorder from 2018 to 2020 and by their residence's urbanicity.
Research

Jun 25, 2025

Technology Regulation Reconsidered: The Effects of Certificate of Need Policies on the Quantity and Quality of Diagnostic Imaging

We estimate the effects of certificate of need regulation on the use and quality of diagnostic imaging. Medicare beneficiaries in regulated states are less likely to receive any image and low-value imaging than beneficiaries in unregulated states.
Commentary

Apr 23, 2025

Redesigning Health Care Plans to Lower Costs

Employers and employees can use their health insurance benefit designs to make health care more affordable, and without the need for further taxpayer subsidies, by designing tiered networks of providers who are responsible for meeting specific total cost of care benchmarks.
Press

Apr 7, 2025

Viability of Hospital-Based Emergency Care in U.S. Faces Peril; Reforms Needed to Boost Payments

The viability of hospital-based emergency care in the United States is at risk, threatened by issues such as patients with increasingly complex needs and falling payments for physicians.
Research

Apr 7, 2025

Strategies for Sustaining Emergency Care in the United States

The authors assess the current value of emergency care in the United States, evaluate challenges to sustaining emergency care, measure trends in emergency care payment, and identify alternate funding strategies for emergency care.
Research

Mar 27, 2025

Evaluation of the Medicare Advantage Value-Based Insurance Design Model Test: 2020 to 2023

We evaluated the Medicare Advantage (MA) Value-Based Insurance Design Model test that allowed participating MA parent organizations to offer supplemental benefits, financial and nonfinancial incentives to beneficiaries, and hospice benefits.

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Health Care Payment Approaches

Health Care Payment Approaches

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Expanding Technical and Professional Components to all Medicare Physician Fee Schedule Services

Medicaid Prior Authorization and Discontinuation of Buprenorphine

Trends in Medicaid Utilization and Financing for Hospitals With Psychiatric Beds

Telehealth Vs In-Person Outpatient Mental Health Service Use and Spending Among Medicare Beneficiaries From 2019 to 2023

Critical Condition: How to Save the ER

Veteran Access to Multiple Forms of Health Care Coverage: Veterans' Issues in Focus

Access to Medication Treatment for Opioid Use Disorder in Fee-for-Service Medicare

Technology Regulation Reconsidered: The Effects of Certificate of Need Policies on the Quantity and Quality of Diagnostic Imaging

Redesigning Health Care Plans to Lower Costs

Viability of Hospital-Based Emergency Care in U.S. Faces Peril; Reforms Needed to Boost Payments

Strategies for Sustaining Emergency Care in the United States

Evaluation of the Medicare Advantage Value-Based Insurance Design Model Test: 2020 to 2023

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Health Care Payment Approaches

Health Care Payment Approaches

Related Topics

Explore RAND’s Work on this Topic

Error

Expanding Technical and Professional Components to all Medicare Physician Fee Schedule Services

Medicaid Prior Authorization and Discontinuation of Buprenorphine

Trends in Medicaid Utilization and Financing for Hospitals With Psychiatric Beds

Telehealth Vs In-Person Outpatient Mental Health Service Use and Spending Among Medicare Beneficiaries From 2019 to 2023

Critical Condition: How to Save the ER

Veteran Access to Multiple Forms of Health Care Coverage: Veterans' Issues in Focus

Access to Medication Treatment for Opioid Use Disorder in Fee-for-Service Medicare

Technology Regulation Reconsidered: The Effects of Certificate of Need Policies on the Quantity and Quality of Diagnostic Imaging

Redesigning Health Care Plans to Lower Costs

Viability of Hospital-Based Emergency Care in U.S. Faces Peril; Reforms Needed to Boost Payments

Strategies for Sustaining Emergency Care in the United States

Evaluation of the Medicare Advantage Value-Based Insurance Design Model Test: 2020 to 2023

Oops! An unexpected error has occurred.