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Health Care Payment Approaches

Report
Medical Device Innovation in the Era of the Affordable Care Act
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.
Feb 8, 2016
Journal Article
How Will Provider-Focused Payment Reform Impact Geographic Variation in Medicare Spending?
The Institute of Medicine has recently argued against a value index as a mechanism to address geographic variation in spending and instead promoted payment reform targeted at individual providers.
Jan 28, 2016
Report
The NIHR Invention for Innovation (i4i) programme: A review of progress and contributions to innovation in healthcare technologies: Extended summary
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.
Dec 11, 2015
Commentary
Paying for Telemedicine
Telehealth, delivering health services and information via technology, holds great promise. But more information is needed to determine what works and what doesn't.
Sep 3, 2015
Journal Article
Medicare's Step Back from Global Payments: Unbundling Postoperative Care
Many experts believe that the U.S. health care system's continued dependence on fee-for-service payments is a key driver of excessive health care spending.
Jul 16, 2015
Journal Article
Innovative Care Models for High-Cost Medicare Beneficiaries: Delivery System and Payment Reform to Accelerate Adoption
This paper illustrates how Medicare Advantage plans and accountable care organizations could benefit from adopting innovative care delivery models, and suggests policy changes to accelerate spread.
Jul 7, 2015
Journal Article
Do Medicare Payment Policies Influence Hospitals' Timing of Patient Discharge?
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.
Jul 7, 2015
Report
The NIHR Invention for Innovation (i4i) programme: A review of progress and contributions to innovation in healthcare technologies
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.
Jun 11, 2015
Report
Improving Care for Chronic Conditions: Current Practices and Future Trends in Health Plan Programs
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.
Jun 3, 2015
News Release
Medical Home Intervention with Shared Savings Shows Quality and Utilization Improvements
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.
Jun 1, 2015
Content
Paying for Health Care
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.
May 7, 2015
Journal Article
Hospital and Regional Variation in Medicare Payment for Inpatient Episodes of Care
Health care spending varies widely between geographic regions, but there is disagreement regarding the appropriate policy response.
Apr 22, 2015
Journal Article
Using Research to Transform the Health Care System
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.
Apr 22, 2015
Journal Article
Time to Reconsider Including Physicians in Bundled Payments?
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.
Apr 21, 2015
Journal Article
An Evaluation of Social Impact Bonds in Health and Social Care: Interim Report
This interim report describes the progress of the nine 'Trailblazer' projects that investigate the feasibility of setting up Social Impact Bond (SIB) projects in health and social care in England.
Apr 1, 2015
Blog
Five Years of the Affordable Care Act
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.
Mar 23, 2015
News Release
Details and Context of New Payment Models Are Critical to Efforts of Physician Practices to Improve Care
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.
Mar 19, 2015
Report
Physicians Need Support and Guidance to Further Advance Delivery Reforms
Physicians are engaging in new health care payment models intended to improve quality and reduce costs. They 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.
Mar 19, 2015
Report
Specialty Payment Model Opportunities and Assessment: Oncology Simulation Report
This report shares results of a simulation analysis of a payment model for specialty oncology services that is being developed for possible testing by the Center for Medicare and Medicaid Innovation at the Centers for Medicare and Medicaid Services.
Mar 17, 2015
Report
Specialty Payment Model Opportunities and Assessment: Oncology Model Design Report
This report shares research and analyses of claims data related to the design of a payment model for specialty oncology services for possible testing by the Center for Medicare and Medicaid Innovation at the Centers for Medicare & Medicaid Services.
Mar 17, 2015

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