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Health Care Payment Approaches

Journal Article

Performance-Based Payments for Primary Care Providers May Worsen Disparities in Medical Care

Rewarding primary care physicians for providing better care to patients could end up widening medical disparities experienced by poorer people and by minorities. Increasing the number of primary care physicians is also not enough to boost U.S. health care quality and lower costs.

May 1, 2010
Report

Increase the Use of "Bundled" Payment Approaches

This document explores how increased use of bundled payment approaches would affect health system performance along nine dimensions.

Jan 8, 2010
Journal Article

Usual Care Psychotherapy for Depression in a Large Managed Behavioral Health Organization

Many depressed patients are receiving recommended psychotherapy but better tools are needed to monitor and improve the quality of usual psychotherapeutic care.

Jan 1, 2010
Journal Article

Physician Compensation, Cost, and Quality

Pay-for-performance, transparency, and other innovative ways of compensating physicians will only work if, at the same time, the system for providing care has clear objectives and specific tools to help physicians achieve those objectives.

Jan 1, 2010
Journal Article

Risk-adjusted Capitation Rates for Children: How Useful Are the Survey-Based Measures?

National health surveys can provide information, including measures of special health care needs, that can improve risk-adjustment models and help provide appropriate payments to managed-care plans serving vulnerable children.

Jan 1, 2010
Journal Article

Can You Get What You Pay For? Pay-for-Performance and the Quality of Healthcare Providers

One-liner abstract (description): Despite the popularity of pay-for-performance (P4P) among health policymakers and private insurers as a tool for improving quality of care, there is little empirical basis for its effectiveness.

Jan 1, 2010
Journal Article

The Effect of Performance-Based Financial Incentives on Improving Patient Care Experiences: A Statewide Evaluation

Pay-for-performance incentives improve physician-patient communication, care coordination, and interaction with office staff.

Dec 1, 2009
Journal Article

Reliability of Patient Responses in Pay for Performance Schemes: Analysis of National General Practitioner Patient Survey Data in England

Assess the robustness of patient responses to a new national survey of patient experience as a basis for providing financial incentives to doctors.

Oct 24, 2009
Report

Hospital Pay for Performance

Researchers explore how hospital pay for performance would affect health system performance with respect to spending, patient experience, health, waste, consumer financial risk, coverage, and capacity.

Oct 12, 2009
Report

Physician Pay for Performance

This document explores how physician pay for performance (P4P) programs would affect health system performance along nine dimensions.

Oct 12, 2009
News Release

Strategies Outlined to Test New Payment Models for Health Care

A new RAND study outlines methods that might be used to test a novel payment system for medical care that would provide doctors, hospitals and other health providers a set fee for treating an ailment such as hip replacement surgery.

Sep 29, 2009
Research Brief

Controlling Health Care Spending in Massachusetts

In 2006, Massachusetts passed landmark legislation ensuring near-universal health insurance coverage to its residents, but rising costs threaten the initiative; this policy brief assesses 21 options for controlling health care spending in the state.

Sep 10, 2009
Journal Article

Strategies Outlined to Test New Payment Models for Health Care

A new study outlines methods that might be used to test a novel payment system for medical care that would provide doctors, hospitals and other health providers a set fee for treating an ailment such as hip replacement surgery.

Sep 1, 2009
Report

The Reliability of Provider Profiling: A Tutorial

Although hospitals and managed care facilities have used performance measurement for some time, the focus on doctor profiling by purchasers and health plans is relatively new, bringing to the fore the limitations of available physician data and proving the need for reliability measures in physician profiling.

Jun 25, 2009
Journal Article

Managed Care Quality of Care and Plan Choice in New York SCHIP

Examines whether low-income parents of children enrolled in the New York State Children's Health Insurance Program (SCHIP) choose managed care plans with better quality of care.

Jun 1, 2009
Journal Article

Who Gets Disease Management?

This was an observational study of the health care use, costs, and quality of care of 27,211 members of a large health insurer who were identified through claims as having asthma, diabetes, or congestive heart failure, were considered to be at high risk for incurring significant claims costs, and were eligible to join a disease management program involving health coaching. Findings illuminated the serious problem of selection into Disease management (DM) programs and suggest that the effectiveness levels found in prior evaluations using methodologies that don't address this may be overstated.

May 1, 2009
Commentary

Quality, Transparency, and the US Government

If the government is demanding transparency of physicians and hospitals, the very least the physicians and hospitals should do is demand transparency of the government, writes Robert Brook.

Apr 1, 2009
Research Brief

Designing Effective Pay-for-Performance in K-12 Education

RAND recommends policy actions and investments to increase the likelihood of success of pay-for-performance systems of educator compensation in the United States and identify the practices most likely to succeed.

Mar 26, 2009
Journal Article

Pay-For-Performance for Medical Groups Stimulates Changes in Practice

A large group of California physicians given financial incentives to improve the quality of medical care have begun to embrace an array of changes important to advancing quality.

Mar 15, 2009
News Release

Pay-For-Performance for Medical Groups Stimulates Changes in Practice

A large group of California physicians given financial incentives to improve the quality of medical care have begun to embrace an array of changes important to advancing quality.

Mar 11, 2009

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