In this report, the authors offer an initial assessment of clinically integrated networks (CINs), describe how health systems are using CINs strategically to compete in crowded health care markets, and identify why CINs require further study.
With COVID-19 vaccine development well underway, implementation of a vaccination program warrants attention. Vaccine effectiveness demands a certain percentage uptake. But since health care delivery in the United States is fragmented, a coherent federal intervention may be necessary.
State and federal policymakers are considering adding state-backed public options to the individual market in an effort to expand health coverage and improve affordability. We analyzed what would happen if public options became available in U.S. health insurance exchanges.
Offering a government-sponsored health plan with publicly determined payment rates to people who buy their own insurance could lower the cost of premiums, but on its own it is unlikely to substantially increase the overall number of people with coverage.
Interest in a government-sponsored health insurance plan with publicly determined provider rates is growing. An analysis of four such public option plans finds that lower provider payment rates would lower premiums. But the effect on enrollees also depends on tax credits. And changes to the number of uninsured would be small.
There is growing interest in a "public option" for individual market insurance to improve affordability and enrollment. The authors estimate how adding a federal public option could affect enrollment, premiums, and government spending.
With scientists striving for a viable coronavirus vaccine, and public health officials considering its potential rollout, do calls for freedom of choice and anti-vaccination sentiments, as seen in recent televised protests, represent a worrying omen?
With COVID-19 spreading across the United States, the fate of the Affordable Care Act is once again up in the air, hanging on the outcome of a Supreme Court case. Should the law be overturned, upwards of 20 million people could lose their health insurance during one of the deadliest pandemics in modern history.
The Training in Psychotherapy (TIP) Tool assesses how well psychotherapy trainings for community-based providers include elements of trainings identified as potentially effective. This guide provides an update of the TIP Tool based on pilot testing.
In a survey of community health center medical directors in 9 Medicaid expansion states and DC, nearly 60% reported difficulty obtaining new specialist visits and multiple access barriers on behalf of their patients.
Opening Medicare to Americans aged 50 to 64 would lower health care premiums for the group, but also drive up costs for younger people who buy health insurance on exchanges created under the federal Affordable Care Act.
Allowing Americans aged 50 to 64 to buy into Medicare would lower health care premiums for the group. But it would also drive up costs for younger people who buy health insurance on Affordable Care Act exchanges.
The authors of this report examine the impact of providing additional health insurance subsidies or financing reinsurance from the savings resulting from restored federal cost-sharing reduction payments to insurers under the Affordable Care Act.
RAND Europe conducted an evidence assessment of the de-escalation training literature and found that training may help staff manage patient violence and aggression but de-escalation training may not reduce the number of violent/aggressive incidents.