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Health Care Payment Approaches

News Release

Ways to Improve Health Care Provider 'Report Cards'

As health care reform expands the use of "report cards" to grade health care providers, greater attention to reporting methods may be needed to assure the quality of such efforts.

Mar 5, 2012
Journal Article

Simulation Suggests That Medical Group Mergers Won't Undermine the Potential Utility of Health Information Exchanges

Federal and state agencies are investing substantial resources in the creation of community health information exchanges, which are consortia that enable independent health care organizations to exchange clinical data.

Mar 1, 2012
Journal Article

Ways to Improve Health Care Provider 'Report Cards'

As health care reform expands the use of "report cards" to grade health care providers, greater attention to reporting methods may be needed to assure the quality of such efforts.

Mar 1, 2012
Journal Article

Pay-for-performance Programs to Reduce Racial/Ethnic Disparities: What Might Different Designs Achieve?

Pay-for-performance (P4P) programs may have unintended effects on racial/ethnic disparities.

Feb 1, 2012
Journal Article

Reporting CAHPS and HEDIS Data by Race/Ethnicity for Medicare Beneficiaries

How should ethnic group-specific quality of care data best be reported to Medicare beneficiaries?

Jan 1, 2012
News Release

Bundling Payments to Curb Health Care Costs Proves Difficult to Realize

Under bundled payments, doctors, hospitals, and other providers share one fee for treating all aspects of a procedure such as a hip replacement or a chronic disease like diabetes. The approach should eliminate unnecessary care and improve quality, but putting it into practice is proving to be more difficult than anticipated.

Nov 7, 2011
Journal Article

Bundling Payments to Curb Health Care Costs Proves Difficult to Realize

Under bundled payments, doctors, hospitals, and other providers share one fee for treating all aspects of a procedure such as a hip replacement or a chronic disease like diabetes. The approach should eliminate unnecessary care and improve quality, but putting it into practice is proving to be more difficult than anticipated.

Oct 31, 2011
Brochure

Focus on the Rising Cost of Health Care

A substantial body of RAND research has focused on evaluating policies to lower health care costs; promoting health and preventing disease; and improving health system value and quality of care.

Oct 5, 2011
Report

Addressing Medicare Payment Differentials Across Ambulatory Settings

Medicare's payment for physician work and malpractice liability expenses is the same regardless of where a service is provided, but payments differ for facility-related components of care.

Sep 30, 2011
Journal Article

Methodological Considerations in Generating Provider Performance Scores for Use in Public Reporting: A Guide for Community Quality Collaboratives

This white paper prepared for the Agency on Healthcare Research and Quality examines methodological issues raised by the generation of public-reporting of scores for measuring health care provider performance.

Aug 31, 2011
Journal Article

How Do the Experiences of Medicare Beneficiary Subgroups Differ Between Managed Care and Original Medicare?

Quality improvement in Medicare managed care plans should target care for particular subgroups such as beneficiaries who have low incomes, are less healthy, older, female, and who did not complete high school.

Jul 31, 2011
Tool

Managed Health Care Survey Categorizes Critical Elements of Public Sector Arrangements

This RAND Health survey captures key differences between managed and "unmanaged" care as well as differences among managed care arrangements, and it includes six domains predicted to have an impact on access, service utilization, costs, and quality.

Jul 22, 2011
Report

Using Prizes to Support and Reward Excellence in Health Research

Research indicates that there is merit in developing incentives to support excellence in health research in addition to “standard” performance management and routine inspection in the United Kingdom.

Jun 28, 2011
Journal Article

Accountable Care Organizations and Community Empowerment

This commentary argues that involving communities in the formation of accountable care organizations would be a dramatic step toward more patient-centered care.

May 3, 2011
Journal Article

Differential Item Functioning By Survey Language Among Older Hispanics Enrolled in Medicare Managed Care

Failure to account for language differences in CAHPS survey items may result in misleading conclusions about disparities in health care experiences between Spanish and English speakers.

Apr 30, 2011
Journal Article

The Impact of Patient Choice of Provider on Equity: Analysis of a Patient Survey

More educated, affluent patients were no more likely to be offered a choice than other population groups, but there does appear to be a social gradient in who chose to travel beyond the local area for treatment. If these results were replicated across England, there is at least the potential risk that when local hospitals are failing, patient choice could result in inequitable access to high quality care, rather than enhancing equity as the policy's architects had hoped.

Mar 31, 2011
Report

Paying for Quality in the German Healthcare System

Germany's National Association of Statutory Health Insurance Physicians is looking to develop a unified reimbursement framework that accounts for regional prices and incorporates quality indicators. Research by RAND Europe has informed the development of the quality component of the proposed framework.

Mar 22, 2011
News Release

Investment in New Health Care Quality Measures Needed as Cost-Cutting Strategies Grow

As the health care industry, employers, and government officials seek to control the growth of health spending, new efforts are needed to develop and refine quality-of-care and other performance measures that can assure changes will improve medical care and do not harm patients.

Feb 22, 2011
Report

Investment in New Health Care Quality Measures Needed as Cost-Cutting Strategies Grow

Health care spending reforms should be met with new efforts to develop and refine quality of care and other performance measures in order to assure that any changes will improve medical care and not harm patients.

Feb 22, 2011
Journal Article

Depression and the Health Care Experiences of Medicare Beneficiaries

Depressed patients report poorer health care experiences and have less confidence that they can recognize their need for care.

Dec 31, 2010

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