Health Economics

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Financing the efficient delivery of medical services while reducing costs for consumers as well as health care providers is among the most challenging domestic policy problems many countries face. RAND addresses health economics issues through innovative, high-profile research in an effort to improve the efficiency of health care organizations, reduce costs for providers and consumers, and improve financing in health care markets.

  • Report

    COVID-19 'Vaccine Nationalism' Could Cost $1.2 Trillion a Year

    Nationalistic behavior by governments may exclude some countries from access to COVID-19 vaccines. This could cost the world economy up to $1.2 trillion a year in GDP. A globally coordinated effort to fight the pandemic is key, not only from a public health perspective but also an economic one.

    Oct 28, 2020

  • Report

    U.S. Prescription Drug Prices Are 2.56 Times Those in Other Countries

    Prices for prescription drugs in the United States in 2018 were 256 percent of those in 32 comparison countries. For brand-name drugs, U.S. prices were 344 percent higher. But for generic drugs, they were only 84 percent of the average paid in other nations.

    Jan 28, 2021

Explore Health Economics

  • Arkansas state quarter

    Infographic

    Infographic: How Arkansas May Fare Under the Affordable Care Act

    This infographic presents findings from a RAND analysis of the economic and other effects of the Affordable Care Act on the state of Arkansas.

    May 21, 2014

  • Pennsylvania capitol building

    Infographic

    Infographic: How Pennsylvania May Fare Under the ACA

    This infographic presents findings from a RAND analysis of the economic and other effects of Medicaid expansion on the commonwealth of Pennsylvania.

    May 21, 2014

  • smart phone and smart watch with mobile heart rate app

    Commentary

    How Technology Can Help Save Health Care Dollars

    Devising methods to stimulate patients' use of computers, smart phones, and other technology to become more engaged in their health care could usher in an era in which better health is just a click or tap away.

    May 6, 2014

  • Physical Therapy, Recovery, Massaging, Mobirize, Massage Therapist, Human Leg, knee, Healthcare And Medicine, Patient, Healthcare Worker, Injury, Surgery, Wound, Show, Treatment, Physiotherapist, Check UP

    Report

    Implementing a Rb-Rvs Fee Schedule for Physician Services

    An examination of the impact of implementing a resource-based relative value scale to pay for physician and other practitioner services under the California workers' compensation system finds in the aggregate across all services, allowances are projected to increase 11.9 percent.

    Apr 28, 2014

  • Close up of pills/drugs on US dollar health care spending

    Commentary

    Is the ACA Keeping a Lid on Growth in Healthcare Spending?

    Some point to the healthcare spending slowdown as an early success of the Affordable Care Act. Others warn that it's merely a hangover from the recession, and that the inevitable spending rebound will be exacerbated by the ACA coverage expansions.

    Apr 3, 2014

  • Senior man and adult daughter enjoying time together over lunch

    Journal Article

    Cost of Informal Caregiving for U.S. Elderly Is $522 Billion Annually

    The price tag for informal caregiving of elderly people by friends and relatives in the U.S. comes to $522 billion a year. Replacing that care with unskilled paid care at minimum wage would cost $221 billion, while replacing it with skilled nursing care would cost $642 billion.

    Jan 1, 2014

  • serious child looking up

    Journal Article

    Economic Burden of Childhood Autism Spectrum Disorders

    Compared to their peers, children with autism spectrum disorders have higher annual costs for health care appointments and prescriptions ($3,000 on average) and non-health care costs ($17,000 on average), such as special education at school. Previous analyses underestimated this economic burden, particularly for school systems.

    Jan 1, 2014

  • Journal Article

    Journal Article

    The State of Innovative Emergency Medical Service Programs in the United States

    The primary objective of this study was to determine how EMS organizations that are piloting patient-centered treatment and transport protocols are approaching the challenges of implementation, reimbursement, and quality assurance.

    Jan 1, 2014

  • Britain's Prime Minister David Cameron speaks at the G8 Dementia Summit

    Commentary

    A Global Focus on Dementia

    The Group of 8 industrial nations is convening a special session to seek an international approach to dementia research at a time the disease is being recognized as a 21st century global health crisis of historic proportions.

    Dec 11, 2013

  • pills and money on American flag

    Research Brief

    Will the Affordable Care Act Make Health Care More Affordable?

    For most lower-income people who obtain coverage as a result of the Affordable Care Act, health care spending will fall. But spending by some newly insured higher-income people will increase because they will be now paying insurance premiums.

    Dec 11, 2013

  • News Release

    News Release

    Affordable Care Act Will Reduce Out-of-Pocket Medical Spending for Many Americans

    The Affordable Care Act will have a varied impact on health spending by individuals and families, depending primarily on their income and whether they would have been uninsured in 2016 without the program.

    Oct 1, 2013

  • premature baby in nicu

    Journal Article

    Making an Economic Case for a Shift to Prevention

    Some health issues, including preterm birth, unintentional injury, child obesity and certain child mental health problems, may cost less to prevent while also improving outcomes in later life.

    Oct 1, 2013

  • grandfather and granddaughter

    Journal Article

    Benefits of Slowing the Aging Process

    Most medical research focuses on fighting individual disease. But delayed aging could boost life expectancy by more than two years and yield more than $7 trillion over 50 years. Greater investment in research to delay aging could be a very efficient way to prevent disease, improve public health, and extend healthy life.

    Oct 1, 2013

  • a middle aged woman checking out at a medical reception counter

    Report

    Affordable Care Act Will Reduce Out-of-Pocket Medical Spending for Many Americans

    The Affordable Care Act will have a varied impact on health spending by individuals and families, depending primarily on their income and whether they would have been uninsured in 2016 without the program.

    Oct 1, 2013

  • granddaughter,grandmother,sick,ill,old,senior,inpatient,visit,treatment,bed,rest,medication,grandma,elderly,woman,mother,daughter,cure,infusion,patient,health,hospital,sleep,illness,sickness,asian,ethnic,healthcare,room,togetherness,compassion,love,care,medical,holding,hands

    Journal Article

    The Effect of Prospective Payment on Admission and Treatment Policy

    Provider responses to the Medicare inpatient rehabilitation facility prospective payment system were found to simultaneously reduce marginal reimbursement and increase average reimbursement.

    Sep 1, 2013

  • hands on walker

    Research Brief

    Major Changes to Medicare Would Cut Costs, Squeeze Enrollment, Raise Spending for Seniors

    Potential policy changes, such as raising the eligibility age of Medicare from 65 to 67, would save Medicare from $400 billion to $4 trillion between 2012 and 2036 but would also reduce the number of seniors enrolled.

    Aug 26, 2013

  • data graphs

    Journal Article

    Option Pricing: A Flexible Tool to Disseminate Shared Saving Contracts

    Due to volatility in healthcare costs, shared savings contracts can create systematic financial losses for payers, especially when contracting with smaller providers.

    Aug 1, 2013

  • illustration of weighing medical costs

    Commentary

    Health Care Spending: What's in Store?

    Resolving the question of whether or not the U.S. has finally gotten a handle on health care spending is vitally important, because the choices we make going forward will have profound implications for our economy, the financial wellbeing of millions of American families, and ultimately America's standing in the world.

    Jul 16, 2013

  • elderly person's hands on walking cane

    Testimony

    The Monetary Costs of Dementia in the United States

    How do today's costs for treating patients with Alzheimer's disease compare to those of decades past?

    Jul 12, 2013

  • Carter Price

    Multimedia

    The Math of State Medicaid Expansion

    Mathematician Carter Price discusses the potential impacts to low-income populations and local economies in states that choose not to expand Medicaid under the Affordable Care Act.

    Jul 1, 2013

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