Big proposals to rein in health care spending in the United States have encountered stiff political and organizational resistance. But adopting a combination of smaller ideas could save the U.S. health care system a total of up to $26 billion a year.
Uses a dataset that covers inpatient hospital admissions of a population of commercially insured patients under age 65 from California during 2003-2012, this dissertation makes contributions to the knowledge gap in the literature.
Changing incentives in the health care sector and the move to value-based payment models will force device manufacturers to redirect investments from the spectacular toward the prudent—lower cost, less sexy.
The NIHR Invention for Innovation (i4i) programme supports the development of innovative medical technologies. Rand Europe evaluated the programme to identify its outputs and impacts. This report is an extended summary of the full report.
The Medicare short-stay outlier payment policy created a strong financial incentive for long-term care hospitals to time patient discharges to maximize Medicare reimbursement. These results suggest that the new very-short-stay policy implemented in December 2012 could have a similar effect.
The NIHR Invention for Innovation (i4i) programme supports the development of innovative medical technologies. RAND Europe evaluated the programme to identify its outputs and impacts, and to examine the factors influencing performance.
Documents the current range of health plans' chronic care management services, identifies best practices and industry trends, and examines factors in the plans' operating environment that limit their ability to optimize chronic care programs.
A medical home intervention that paid bonuses to physician practices based on financial savings showed significant improvements in quality and use of some medical services relative to comparison practices.
How health care providers are paid strongly influences their approach to clinical practice. The traditional fee-for-service model is still dominant in the United States, but there are several alternatives.
Using the knowledge base developed by health services research can stimulate innovative thinking about how to make health care systems safer, more efficient, more cost effective, and more patient centered.
Given new payment models and the changing relationship between physicians and hospitals, including physician costs in Medicare's Diagnosis-Related Groups (DRG) payments to hospitals could lead to better physician engagement in quality improvement efforts.
The Affordable Care Act has officially been part of the U.S. health care landscape for five years. We reflect on the twists and turns that followed its passage and the RAND research that informed debates along the way, and look ahead to the future of the ACA.
Physician practices are engaging in new health care payment models intended to improve quality and reduce costs, but are finding that they need help with managing increasing amounts of data and figuring out how to respond to the diversity of programs and quality metrics from different payers.