Health Insurance Benefit Design

103 Results

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Research

Aug 26, 2026

Benefit Design and Consumer Information: Results From a Randomized Trial

Findings from a randomized controlled trial on reducing information barriers for consumers selecting primary care clinics in a tiered network design demonstrate limited marginal effect of the intervention.
Research

Aug 21, 2026

Return on Investment from Primary Care Price Reductions in a Consumer Choice Health Plan Design

The study finds that primary care clinics offering 10-20 percent price discounts within a tiered cost-sharing insurance model can achieve a positive return on investment.
Research

Nov 5, 2025

Clinic Price Reductions in a Tiered Total Cost Benefit Design

The objective of this paper is to understand responses of primary care clinics to inclusion in a tiered total cost of care insurance benefit design.
Expert Insights

Aug 19, 2025

Veteran Access to Multiple Forms of Health Care Coverage: Veterans' Issues in Focus

Many U.S. veterans enrolled with the Veterans Health Administration (VHA) also have other health care coverage. The author discusses why, how health insurance interacts with VHA, and how it may result in overpayments for health coverage and care.
Research

Jul 10, 2025

No Data, No Problem: Quantifying Latine Individuals Eligible for but Not Enrolled in Medicaid or Affordable Care Act Marketplace-Based Insurance in North Carolina

Latine communities in North Carolina face high uninsured rates due to systemic barriers; improved data and community-informed, culturally tailored interventions are needed to increase enrollment in health insurance programs.
Commentary

Apr 23, 2025

Redesigning Health Care Plans to Lower Costs

Employers and employees can use their health insurance benefit designs to make health care more affordable, and without the need for further taxpayer subsidies, by designing tiered networks of providers who are responsible for meeting specific total cost of care benchmarks.
Research

Feb 28, 2024

Barriers Primary Care Clinic Leaders Face to Improving Value in a Consumer Choice Health Plan Design

This paper reports on a qualitative study assessing barriers that clinic leaders face, to reduce costs within a tiered cost-sharing commercial health insurance benefit design, that gives both consumers and clinics a strong incentive to reduce costs.
Research

Feb 28, 2024

Health Care Affordability: Iron Triangle Or Iron Curtain?

A popular concept in health policy discussions is the "iron triangle," positing it is impossible to increase access and quality of care while reducing spending. This paper suggests an alternative approach--"discriminant" coverage designs.
Research

Nov 6, 2023

EHR Implementation Guide – Identifying Frailty Using Existing Health Data: Challenges and Opportunities for Health Systems

The guide describes the range of ways that EHRs are being used to capture data on frailty and functional impairment and best practices for implementing algorithms using EHR data for population management and patient-centered care.
Research

Oct 13, 2023

Evaluation of Phase II of the Medicare Advantage Value-Based Insurance Design Model Test: First Three Years of Implementation (2020–2022)

RAND researchers are conducting a multiyear evaluation of the VBID Model test using a mixed-methods approach that involves surveys, interviews, and quantitative analyses of the relationship between VBID implementation and a variety of outcomes.
Research

Oct 27, 2022

The Impact of the Affordable Care Act Insurance Expansions on Opioid-Related Emergency Department Visits

We leverage ACA coverage expansions to study the impact of health insurance on opioid-related emergency department visits while accounting for potentially confounding changes in relevant state-level policies.
Research

Oct 19, 2022

Evaluation of Phase II of the Medicare Advantage Value-Based Insurance Design Model Test: First Two Years of Implementation (2020–2021), and Appendixes

This report presents the RAND Corporation team's findings from its evaluation of Phase II of the Medicare Advantage Value-Based Insurance Design model test, for the years 2020 and 2021.

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Health Insurance Benefit Design

Health Insurance Benefit Design

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Benefit Design and Consumer Information: Results From a Randomized Trial

Return on Investment from Primary Care Price Reductions in a Consumer Choice Health Plan Design

Clinic Price Reductions in a Tiered Total Cost Benefit Design

Veteran Access to Multiple Forms of Health Care Coverage: Veterans' Issues in Focus

No Data, No Problem: Quantifying Latine Individuals Eligible for but Not Enrolled in Medicaid or Affordable Care Act Marketplace-Based Insurance in North Carolina

Redesigning Health Care Plans to Lower Costs

Barriers Primary Care Clinic Leaders Face to Improving Value in a Consumer Choice Health Plan Design

Health Care Affordability: Iron Triangle Or Iron Curtain?

EHR Implementation Guide – Identifying Frailty Using Existing Health Data: Challenges and Opportunities for Health Systems

Evaluation of Phase II of the Medicare Advantage Value-Based Insurance Design Model Test: First Three Years of Implementation (2020–2022)

The Impact of the Affordable Care Act Insurance Expansions on Opioid-Related Emergency Department Visits

Evaluation of Phase II of the Medicare Advantage Value-Based Insurance Design Model Test: First Two Years of Implementation (2020–2021), and Appendixes

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Health Insurance Benefit Design

Health Insurance Benefit Design

Related Topics

Explore RAND’s Work on this Topic

Error

Benefit Design and Consumer Information: Results From a Randomized Trial

Return on Investment from Primary Care Price Reductions in a Consumer Choice Health Plan Design

Clinic Price Reductions in a Tiered Total Cost Benefit Design

Veteran Access to Multiple Forms of Health Care Coverage: Veterans' Issues in Focus

No Data, No Problem: Quantifying Latine Individuals Eligible for but Not Enrolled in Medicaid or Affordable Care Act Marketplace-Based Insurance in North Carolina

Redesigning Health Care Plans to Lower Costs

Barriers Primary Care Clinic Leaders Face to Improving Value in a Consumer Choice Health Plan Design

Health Care Affordability: Iron Triangle Or Iron Curtain?

EHR Implementation Guide – Identifying Frailty Using Existing Health Data: Challenges and Opportunities for Health Systems

Evaluation of Phase II of the Medicare Advantage Value-Based Insurance Design Model Test: First Three Years of Implementation (2020–2022)

The Impact of the Affordable Care Act Insurance Expansions on Opioid-Related Emergency Department Visits

Evaluation of Phase II of the Medicare Advantage Value-Based Insurance Design Model Test: First Two Years of Implementation (2020–2021), and Appendixes

Oops! An unexpected error has occurred.