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.
Medicare appears to be overpaying surgeons for many medical procedures. Federal officials should incorporate ways to more objectively measure the amount of postoperative care surgeons provide to patients.
RAND developed a fidelity monitoring protocol composed of adherence and competence measures based on the Applied Suicide Intervention Skills Training (ASIST) for the California Mental Health Services Authority.
This report summarizes RAND's pilot testing of a set of proposed nonpayment codes that physicians would use for post-operative visits. The goal of testing was to assess whether practitioners understood and could correctly apply the codes.
Starting in 2019, the Medicare Access and CHIP Reauthorization Act will integrate and potentially simplify performance measurement by combining many measures and programs. Research provides insight into how to avoid pitfalls in MACRA's rollout.
To inform the debate in the New Jersey state legislature, this report analyzes the role of payments for involuntary out-of-network care for New Jersey hospitals' financial performance and simulates the effect of policies to limit such payments.
Public health leaders should be able to articulate the business case for their work and should have the skills to work with others outside the health sector. Schools could help by preparing students to think beyond the traditional boundaries of public health.
Hospitals face penalties for excess readmissions among Medicare patients. This study found that adding race/ethnicity and SES factors to the readmission calculation would have modest financial effects on hospitals and Medicare.
Allowing insurance companies to limit the drugs they cover is necessary to give them leverage that can result in lower medication costs for all patients. Still, there are ways to make the process more transparent and manageable.
Response rates for the Medicare Advantage Consumer Assessment of Healthcare Providers and Systems (MA CAHPS) survey were 2.5 percentage points lower when 12 questions had been added to the survey, compared with no additional questions.
Patient experience points related to improvement and consistency have a small but important effect on payments to hospitals serving large proportions of disadvantaged patients under the Medicare Hospital Value-Based Purchasing program.
Including supplemental insurance payments in the calculation of Medicare patients' out-of-pocket costs substantially lowers the proportion that exceed the Part A deductible, in comparison to previous analyses.
The total cost of caring for people in the United States with dementia in 2010 was estimated to be between $159 billion and $215 billion. As the nation's population ages, these costs will soar. Lawmakers could consider policy changes that support family caregivers and expand Medicaid eligibility.
In this Events @ RAND podcast, Joe Newhouse, a Professor of Health Policy and Management, discusses reforms in the mid-2000s that had a surprising—and some would say counterintuitive—effect on Medicare Advantage Plans.
Americans spend billions of dollars out of pocket seeking relief from chronic conditions in alternative schools of health, such as acupuncture or chiropractic. What would it take to more fully integrate such practices into the mainstream?