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Essay

COVID Could Surge Anywhere. This Tool Helps Hospitals Prepare

Jul 1, 2020

The number of new coronavirus cases is growing in most states. As the pandemic continues to strain U.S. health care systems, a tool developed by RAND researchers can help hospitals prepare for the worst.
Report

Setting U.S. Hospital Prices Could Cut Overall Health Spending by Billions

Feb 18, 2021

Price regulations face political obstacles and have been strongly opposed by medical providers. But setting prices for all commercial health care payers could reduce hospital spending by $61.9 billion to $236.6 billion a year if the rates were set at 100 to 150 percent of the amounts paid by Medicare.

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Journal Article

Examining the Course of Transitions from Hospital to Home-Based Palliative Care: A Mixed Methods Study

Mixed methods study of transitions from hospital to home for palliative care/hospice.

Jun 1, 2022
Journal Article

Trends In Hospital Prices Paid By Private Health Plans Varied Substantially Across The US

We describe how commercial hospital payment rates changed relative to Medicare rates during 2012–19 and how trends differed by hospital referral region.

Apr 20, 2022
News Release

Trends in Hospital Prices Varied Widely Across the United States

The average prices charged to commercial health plans by hospitals, as compared to what Medicare pays, remained relatively stable between 2012 and 2019, but there was a large amount of geographic variation in the trends.

Apr 4, 2022
Journal Article

Cannabis Legalization and Cannabis-Involved Pregnancy Hospitalizations in Colorado

The primary objective of this study was to evaluate the association between presence of recreational cannabis dispensaries and prevalence of cannabis-involved pregnancy hospitalizations in Colorado.

Mar 4, 2022
Journal Article

APCDs Can Provide Important Insights for Surveilling the Opioid Epidemic, With Caveats

We compared Colorado's all-payer claims databases with other state-level databases, using analyses comparing quarterly rates of opioid-involved inpatient and emergency department visits and rates of 30-day opioid fills.

Mar 4, 2022
Journal Article

Changes in Emergency Department Encounters for Vomiting After Cannabis Legalization in Colorado

The findings of this study suggest that cannabis legalization in Colorado is associated with an increase in annual vomiting-related health care encounters with regard to exposure to these markets.

Mar 4, 2022
Multimedia

RAND Video Highlights of 2021

The best RAND videos from the past year brought our research to life in new ways. From the sidewalks of Pittsburgh to preschools in the Middle East, see how people around the world are using RAND research to make their communities safer and more secure, healthier and more prosperous.

Dec 20, 2021
Journal Article

Physician Compensation In Physician-Owned And Hospital-Owned Practices

Vertical integration of physician practices with hospitals or health systems was associated with lower income for nonsurgical specialists, no difference in income for primary care physicians, and slightly higher income for surgical specialists.

Dec 10, 2021
Journal Article

Association Between COVID-19 Relief Funds and Hospital Characteristics in the US

CARES Act funds may have disproportionately gone to hospitals that were in a stronger financial situation prior to the pandemic compared to those that were not.

Nov 2, 2021
Report

Communicating research evidence to boards in health and care organisations: A scoping study

Boards in health and care organisations play a key role in the governance, strategy, direction and culture of an organisation. We conducted a scoping study on how health and care boards use research evidence and how this can be improved.

Sep 27, 2021
Multimedia

Pandemic Response: Strategies for Increasing Critical Care Capacity

RAND senior physician policy researcher Mahshid Abir describes a study aimed at identifying strategies for increasing critical care capacity in response to the COVID-19 pandemic.

Aug 27, 2021
Tool

Inpatient Hospitalizations for Firearm Injury: Estimating State-Level Rates from 2000 to 2016

The lack of reliable, state-level data on firearm injuries is a challenge for gun policy researchers. As part of the Gun Policy in America initiative, RAND researchers developed a publicly available longitudinal database of state-level estimates of inpatient hospitalizations that occur as a result of firearm injury.

Apr 27, 2021
Research Brief

Reducing Hospital Spending: Three Policy Options

RAND researchers have estimated the effects of policy options to reduce hospital prices paid by private health plans, outlining design choices and effectiveness levels for each approach.

Apr 21, 2021
Research Brief

Private U.S. Health Plans Pay Hospitals 247 Percent of What Medicare Would Pay

RAND researchers used data from 49 states and Washington, D.C., to assess hospital prices paid by private health plans. Data sources included $33.8 billion in spending from 3,112 community hospitals—more than half of community hospitals nationwide.

Feb 24, 2021
News Release

Setting Hospital Prices Can Achieve Greater Savings Than Increasing Competition or Price Transparency

Among strategies to curb hospital prices among the commercially insured population in the United States, direct price regulations such as setting rates are likely to achieve greater savings than other approaches like increasing competition or improving price transparency.

Feb 18, 2021
Journal Article

What Drives Greater Assimilation of Telestroke in Emergency Departments?

Although many emergency departments (EDs) have telestroke capacity, it is unclear why some EDs consistently use telestroke and others do not. We compared the characteristics and practices of EDs with robust and low assimilation of telestroke.

Feb 10, 2021
Journal Article

Medicare Shared Savings Program and Readmission Rate Among Patients with Ischemic Stroke

Our aim was to determine if the Medicare Shared Savings Program is associated with changes in readmissions and mortality for patients hospitalized with ischemic stroke, and whether it has a different impact on safety net hospitals and non-SNHs.

Jan 29, 2021
Journal Article

Impact of Hospital Readmissions Reduction Program Penalties on Hip and Knee Replacement Readmissions: Comparison of Hospitals at Risk of Varying Penalty Amounts

We examined whether hospitals at risk of relatively large penalties from this expansion experienced greater declines in joint replacement readmissions compared with hospitals at risk of smaller penalties.

Jan 28, 2021
Journal Article

Impact of Risk Adjustment for Socioeconomic Status on Risk-adjusted Surgical Readmission Rates

This article assesses whether differences in readmission rates between safety-net hospitals (SNH) and non-SNHs are due to differences in hospital quality, and compares the results of hospital profiling with and without adjusting for socioeconomic status.

Jan 28, 2021

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