Managed Health Care

214 Results

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Research

Oct 18, 2016

Differences in Nursing Home Quality Between Medicare Advantage and Traditional Medicare Patients

Researchers found little difference in the quality of nursing home care provided to Medicare enrollees in managed care and those enrolled in traditional fee-for-service nursing homes.
Expert Insights

Apr 19, 2016

Introducing Value-Based Purchasing into TRICARE Reform

Congress is considering how to update TRICARE, the U.S. Department of Defense health benefits program. In this Perspective, the authors evaluate two existing proposals that incorporate value-based purchasing and describe a hybrid alternative.
Research

Feb 19, 2016

Once A Cure; Second A Waste: Examining Hospital Readmission Rates of the Commercially Insured Under 65 Population

Uses a dataset that covers inpatient hospital admissions of a population of commercially insured patients under age 65 from California during 2003-2012, this dissertation makes contributions to the knowledge gap in the literature.
Research

Jul 7, 2015

Innovative Care Models for High-Cost Medicare Beneficiaries: Delivery System and Payment Reform to Accelerate Adoption

This paper illustrates how Medicare Advantage plans and accountable care organizations could benefit from adopting innovative care delivery models, and suggests policy changes to accelerate spread.
Research

Jun 3, 2015

Improving Care for Chronic Conditions: Current Practices and Future Trends in Health Plan Programs

Documents the current range of health plans' chronic care management services, identifies best practices and industry trends, and examines factors in the plans' operating environment that limit their ability to optimize chronic care programs.
Research

Apr 3, 2014

Final Report: Evaluation of Tools and Metrics to Support Employer Selection of Health Plans

This report attempts to help employers understand the structural differences between health plans and the performance dimensions along which plans can differ, as well as to educate employers about available tools to evaluate plan options.
Research

Mar 1, 2014

Beyond Black and White: Race/Ethnicity and Health Status Among Older Adults

This study examined physical and mental health, health symptoms, sensory and functional limitations, risk factors, and multimorbidity among older Medicare managed care members to assess disparities associated with race/ethnicity.
Research

Sep 1, 2013

Choice of Primary Care Provider: A Review of Experiences in Three Countries

Our study offers important lessons for the planned implementation of choice in primary care in the English NHS.
Research

Aug 28, 2013

Does the Racial/Ethnic Composition of Medicare Advantage Plans Reflect Their Areas of Operation?

There is little evidence that health plans are selectively underenrolling blacks, Latinos, or Asians to a substantial degree. A small but potentially important subset of plans disproportionately serves minority beneficiaries.
Research

Feb 4, 2013

Care Experiences of Managed Care Medicare Enrollees Near the End of Life

To compare reports about care experiences of individuals who died within 1 year of survey with reports of those who did not.
Research

Jan 1, 2013

Health-related Quality of Life and Quality of Care in Specialized Medicare-managed Care Plans

This research indicates that beneficiaries in 3 types of special needs plans show evidence of worse health-related quality of life.
Article

Aug 9, 2012

A Cure for Overtreatment: RAND Guidelines for Appropriate Care

Reducing inappropriate and wasteful tests, treatments and procedures has the potential to save billions annually and simultaneously improve the quality and safety of American medicine.

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Managed Health Care

Managed Health Care

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Explore RAND’s Work on this Topic

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Differences in Nursing Home Quality Between Medicare Advantage and Traditional Medicare Patients

Introducing Value-Based Purchasing into TRICARE Reform

Once A Cure; Second A Waste: Examining Hospital Readmission Rates of the Commercially Insured Under 65 Population

Innovative Care Models for High-Cost Medicare Beneficiaries: Delivery System and Payment Reform to Accelerate Adoption

Improving Care for Chronic Conditions: Current Practices and Future Trends in Health Plan Programs

Final Report: Evaluation of Tools and Metrics to Support Employer Selection of Health Plans

Beyond Black and White: Race/Ethnicity and Health Status Among Older Adults

Choice of Primary Care Provider: A Review of Experiences in Three Countries

Does the Racial/Ethnic Composition of Medicare Advantage Plans Reflect Their Areas of Operation?

Care Experiences of Managed Care Medicare Enrollees Near the End of Life

Health-related Quality of Life and Quality of Care in Specialized Medicare-managed Care Plans

A Cure for Overtreatment: RAND Guidelines for Appropriate Care

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Managed Health Care

Managed Health Care

Related Topics

Explore RAND’s Work on this Topic

Error

Differences in Nursing Home Quality Between Medicare Advantage and Traditional Medicare Patients

Introducing Value-Based Purchasing into TRICARE Reform

Once A Cure; Second A Waste: Examining Hospital Readmission Rates of the Commercially Insured Under 65 Population

Innovative Care Models for High-Cost Medicare Beneficiaries: Delivery System and Payment Reform to Accelerate Adoption

Improving Care for Chronic Conditions: Current Practices and Future Trends in Health Plan Programs

Final Report: Evaluation of Tools and Metrics to Support Employer Selection of Health Plans

Beyond Black and White: Race/Ethnicity and Health Status Among Older Adults

Choice of Primary Care Provider: A Review of Experiences in Three Countries

Does the Racial/Ethnic Composition of Medicare Advantage Plans Reflect Their Areas of Operation?

Care Experiences of Managed Care Medicare Enrollees Near the End of Life

Health-related Quality of Life and Quality of Care in Specialized Medicare-managed Care Plans

A Cure for Overtreatment: RAND Guidelines for Appropriate Care

Oops! An unexpected error has occurred.