This report summarizes RAND's pilot testing of a set of proposed nonpayment codes that physicians would use for post-operative visits. The goal of testing was to assess whether practitioners understood and could correctly apply the codes.
Starting in 2019, the Medicare Access and CHIP Reauthorization Act will integrate and potentially simplify performance measurement by combining many measures and programs. Research provides insight into how to avoid pitfalls in MACRA's rollout.
To inform the debate in the New Jersey state legislature, this report analyzes the role of payments for involuntary out-of-network care for New Jersey hospitals' financial performance and simulates the effect of policies to limit such payments.
Patient experience points related to improvement and consistency have a small but important effect on payments to hospitals serving large proportions of disadvantaged patients under the Medicare Hospital Value-Based Purchasing program.
Congress is considering how to update TRICARE, the U.S. Department of Defense health benefits program. In this Perspective, the authors evaluate two existing proposals that incorporate value-based purchasing and describe a hybrid alternative.
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.