The Personalized Hospital Performance Report Card lets you review, customize, and compare hospitals across the United States. Create your own custom ratings based on the hospital performance areas that are most important to you.
An examination of U.S. hospital prices covering 25 states shows that in 2017, the prices paid to hospitals for privately insured patients averaged 241 percent of what Medicare would have paid. There was also wide variation in prices among states.
California's experience implementing a policy to address surprise medical billing demonstrates that out-of-network payment standards can influence payer-provider bargaining leverage, affecting prices and network breadth.
An examination of U.S. hospital prices covering 25 states shows that in 2017, the prices paid to hospitals for privately insured patients averaged 241% of what Medicare would have paid, with wide variation in prices among states.
After the 1994 Northridge Earthquake, in which 11 hospitals were damaged and eight were evacuated, California adopted SB1953, which aims to improve hospital resilience to seismic events. The law requires hospitals to reduce their buildings' risk of collapse by 2020 and to remain operational after an earthquake by 2030. California hospitals would need to make substantial investments to meet 2030 state seismic safety standards.
California hospitals are required by law to reduce their buildings' risk of collapse by 2020 and to remain operational after an earthquake by 2030. Hospitals have to pay for the upgrades, which could cost between $34 billion and $143 billion statewide. One-third of California hospitals are already in some form of financial distress.
The Centers for Medicare & Medicaid Services recently launched its Quality Payment Program (QPP), which changes how physicians are paid under Medicare. Researchers interviewed rural physicians to determine if their practices could successfully participate and how the program could be modified to support small rural practices.
This issue spotlights RAND's research on how providers can better meet the health care needs of veterans; life as a U.S. Army private; and Air Force efforts to improve leadership opportunities for women.
Massachusetts residents will soon vote on the Patient Safety Act, a mandate to increase nurse-to-patient ratios in acute care facilities. Evaluating existing data on the impact of a similar nurse staffing law implemented in California in 2004 may help inform voters as they head to the polls.
Each annual release of hospital ratings captivates journalists, hospital leaders, and health care consumers in the United States. These ratings aggregate many measures into a single score for each hospital. But why should the opinions of report creators hold sway, if the intent is to inform patient choice? Why not ask patients instead?
Publicly available hospital ratings and rankings should be modified to allow quality measures to be prioritized according to the needs and preferences of individual patients. RAND researchers propose a new way of rating hospitals by creating tools that allow patients to decide which performance measures to prioritize.
The Personalized Hospital Performance Report Card allows users to review, customize, and compare hospitals across the United States based on an overall star rating system developed by the Centers for Medicare and Medicaid Services.
The RAND Hospital Data tool is an effort to enhance data from the Centers for Medicare & Medicaid Services Healthcare Provider Cost Reporting Information System to make them more useful and accessible to a broad audience.
Expanding home- based primary care to American Indian Reservations and other rural communities increased access to long term care and enrollment for health care benefits; outcomes were similar for Indian Health Service and non-Indian Health Service populations.
Hospital incentives for investing in patient safety vary by payer and payment configuration. Higher payments provide resources to improve patient safety, but current payment structures may also reduce the willingness of hospitals to invest in patient safety.
Results suggest that AUD and other drug use disorder are more problematic than marijuana use disorder in terms of repeated hospital admissions for SSD. Marijuana use disorder does not appear to be associated with shorter times until readmission.
Following Medicaid expansion, non safety-net hospitals experienced a greater percentage increase in Medicaid stays than did safety-net hospitals, which may reflect patient choice or a crowd-out of private insurance.
Outpatient guidelines can help hospitalists evaluate inpatients on long-term opioid therapy, but more work is needed to help providers make decisions for inpatients that balance effective pain treatment and opioid risk reduction.