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Health Care Payment Approaches

News Release

New Approach to Quality-Based Incentives Avoids Undesired Effects on Health Care Providers Who Care for Disadvantaged ...

Changing health care pay-for-performance programs to account for differences among providers in their patient characteristics can make the incentive schemes more equitable and avoid a redistribution of resources away from providers who care for socioeconomically disadvantaged patients.

Jan 14, 2015
Journal Article

Consumers Who Buy Subsidized Health Plans May Face Higher Costs in Competitive Markets

For people who buy subsidized coverage through marketplaces created under the ACA, those who live in areas with more plan offerings may have to pay a higher premium to receive the same deductible when compared to consumers in regions with fewer options.

Jan 9, 2015
Journal Article

New Approach to Quality-Based Incentives Avoids Undesired Effects on Health Care Providers Who Care for Disadvantaged Patients

Changing health care pay-for-performance programs to account for differences among providers in their patient characteristics can make the incentive schemes more equitable and avoid a redistribution of resources away from providers who care for socioeconomically disadvantaged patients.

Jan 9, 2015
Commentary

The Great Patient Experience Survey Myth

Patient experience with care is an essential element in any assessment of health care quality. Surveys give patients a voice and provide fair and relevant indicators that complement other metrics of health care quality to inform patients' choices and providers' decisions about how to improve care.

Dec 10, 2014
Report

Quantitative Evaluation of the Impact of the Healthy Communities Initiative in Cincinnati

In 2009, a Cincinnati group launched the Healthy Communities Initiative with the goals of improving health care and population health while reducing health care costs. In 2012, RAND Health Advisory Services assessed the Initiative's progress.

Oct 10, 2014
Commentary

The Winding Path to Effective Bundled Payment

It's not unusual for a demonstration to fall short of its original objectives. Learning from such cases is part of the innovation process. This is especially worthwhile for bundled payment, which has many potential benefits for patients, providers, and payers.

Aug 29, 2014
News Release

Effort to Adopt Bundled Payments Across California Falls Short of Goals

A pilot program intended to implement and test a cost-saving strategy for orthopedic procedures at hospitals in California failed to meet its goals, succumbing to recruitment challenges, regulatory uncertainty, administrative burden and concerns about financial risk.

Aug 4, 2014
Journal Article

Bundled Payments Fall Short in California

Despite widespread interest in bundled payments as a strategy to control health care costs, implementation efforts continue to disappoint. A pilot program in California failed to meet its goals, succumbing to recruitment challenges, regulatory uncertainty, administrative burden, and concerns about financial risk.

Aug 4, 2014
Report

Final Report: Evaluation of Tools and Metrics to Support Employer Selection of Health Plans

This report attempts to help employers understand the structural differences between health plans and the performance dimensions along which plans can differ, as well as to educate employers about available tools to evaluate plan options.

Apr 3, 2014
News Release

Promise of Value-Based Purchasing in Health Care Remains to Be Demonstrated

After a decade of experimentation with reforms that give health providers financial incentives to improve performance, relatively little is known about how to best execute such strategies or judge their success.

Mar 4, 2014
Report

Measuring Success in Health Care Value-Based Purchasing Programs: Summary and Recommendations

Reviews what has been learned over the past decade about performance-based payment strategies in health care and offers recommendations for the design, implementation, and monitoring and evaluation of value-based purchasing programs.

Mar 4, 2014
Report

Promise of Value-Based Purchasing in Health Care Remains to Be Demonstrated

After a decade of experimentation with reforms that give health providers financial incentives to improve performance, relatively little is known about how to best execute such strategies or judge their success.

Mar 4, 2014
Journal Article

Beyond Black and White: Race/Ethnicity and Health Status Among Older Adults

This study examined physical and mental health, health symptoms, sensory and functional limitations, risk factors, and multimorbidity among older Medicare managed care members to assess disparities associated with race/ethnicity.

Mar 1, 2014
Journal Article

Effects of Medicare Payment Reform: Evidence from the Home Health Interim and Prospective Payment Systems

Medicare continues to implement payment reforms that shift reimbursement from fee-for-service toward episode-based payment, affecting average and marginal payment.

Jan 21, 2014
News Release

Factors Linked to Creation of Accountable Care Organizations Identified

Regions of the United States where doctors and hospitals are consolidated into large networks are more likely to have accountable care organizations, medical practice structures intended to improve medical care and cut costs.

Oct 7, 2013
Journal Article

Factors Linked to Creation of Accountable Care Organizations Identified

Regions of the United States where doctors and hospitals are consolidated into large networks are more likely to have accountable care organizations, medical practice structures intended to improve medical care and cut costs.

Oct 1, 2013
Journal Article

Review of Experiences in Three Countries Informs England's Patient Choice Scheme

The experiences of Finland, Norway, and Sweden in offering patient choice schemes highlight England's need to carefully monitor the impact of enhanced choice in primary care to ensure that related policies truly enhance access to and improve the quality of care, and not inadvertently benefit those who are more able to exercise choice.

Sep 1, 2013
Journal Article

Does the Racial/Ethnic Composition of Medicare Advantage Plans Reflect Their Areas of Operation?

Investigating if the racial/ethnic composition of Medicare Advantage plans reflect the composition of their areas of operation revealed little evidence that health plans are selectively underenrolling blacks, Latinos, or Asians to a substantial degree.

Aug 28, 2013
Testimony

Designing a Performance-Based Incentive Program for Physicians

Value-based payment programs may encourage providers to innovate and redesign care delivery, potentially driving improvements in quality and efficiency.

Jul 12, 2013
Testimony

Improving Care for Medicare Beneficiaries with Physician Payment Reform

Physician payment policy is shifting from one that incentivizes the delivery of more services without regard to quality or outcomes to one that incentivizes the delivery of high quality, resource conscious health care. Thoughtful incentive design can ease the transition process for both physicians and the Medicare program.

Jun 5, 2013

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