Fee-for-Service for Health Care

34 Results

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Press

Apr 7, 2025

Viability of Hospital-Based Emergency Care in U.S. Faces Peril; Reforms Needed to Boost Payments

The viability of hospital-based emergency care in the United States is at risk, threatened by issues such as patients with increasingly complex needs and falling payments for physicians.
Research

Apr 7, 2025

Strategies for Sustaining Emergency Care in the United States

The authors assess the current value of emergency care in the United States, evaluate challenges to sustaining emergency care, measure trends in emergency care payment, and identify alternate funding strategies for emergency care.
Research

Feb 5, 2025

Rates of Disenrollment From Medicare Advantage Plans Are Higher for Racial/Ethnic Minority Beneficiaries

The objective of this study was to investigate differences in rates of voluntary disenrollment from Medicare Advantage plans by race/ethnicity.
Research

Feb 3, 2025

Building Provider Networks for Enrollees in Both Medicare and Medi-Cal

Provider networks gaps could affect California's new exclusively aligned enrollment dual-eligible special needs plans. Only 60% of clinicians serving fee-for-service Medicare dual-eligible enrollees are in Medi-Cal provider networks.
Research

Oct 23, 2024

Personal Physician Access by Preferred Language Among Medicare Advantage and Medicare Fee-for-Service Older Adults

We used data from the 2022 MCAHPS survey to update our understanding of patterns in having a personal physician among Medicare enrollees.
Research

Oct 16, 2024

Financial Interventions to Improve Screening in Primary Care: A Systematic Review

Financial mechanisms can enhance screening rates with evidence strongest for KPI payments to both practices and individual providers. Future research should explore the relationship between financial interventions and quality of care.
Research

Sep 9, 2024

Medicaid Managed Care and Pediatric Dental Emergency Department Visits

In this cohort study of nontraumatic dental emergency department visits among children enrolled in Florida Medicaid, the introduction of a managed care plan was associated with an increase in the number of pediatric emergency department visits.
Research

Aug 5, 2024

Factors Associated with Self-Reports of Limitations in Activities of Daily Living Among Medicare Fee-for-Service Recipients

Physical function is an important indicator of physical health and predicts mortality. This study identified characteristics associated with limitations in Medicare recipients' activities of daily living.
Research

Jul 29, 2024

A Longitudinal Multivariable Analysis: State Policies and Opioid Dispensing in Medicare Beneficiaries Undergoing Surgery

This study examines trends in the perioperative opioid dispensing rates for fee-for-service Medicare beneficiaries and the effects of select state policies.
Research

Feb 5, 2024

Pediatric Oral Health Services in Medicaid Managed Care and Fee for Service

POHS rates among pediatric medical visits in Florida were similar for visits paid via FFS and CMC, with low rates that increased modestly over time. Our findings are important because more children continue to be enrolled in Medicaid CMC.
Research

Nov 6, 2023

Reviewing, Refining, and Validating Claims-Based Algorithms of Frailty and Functional Impairment: Final Report

The authors developed new claims-based frailty algorithms that were validated using patient assessment data from post-acute care providers. They then compared the performance of the new algorithms with existing claims-based frailty algorithms.
Research

Oct 20, 2023

Effects of the Million Hearts Model on Myocardial Infarctions, Strokes, and Medicare Spending: A Randomized Clinical Trial

The study estimated model effects on first-time myocardial infarctions (MIs) and strokes and Medicare spending over a period up to 5 years as part of an evaluation of the Million Hearts Model.

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Viability of Hospital-Based Emergency Care in U.S. Faces Peril; Reforms Needed to Boost Payments

Strategies for Sustaining Emergency Care in the United States

Rates of Disenrollment From Medicare Advantage Plans Are Higher for Racial/Ethnic Minority Beneficiaries

Building Provider Networks for Enrollees in Both Medicare and Medi-Cal

Personal Physician Access by Preferred Language Among Medicare Advantage and Medicare Fee-for-Service Older Adults

Financial Interventions to Improve Screening in Primary Care: A Systematic Review

Medicaid Managed Care and Pediatric Dental Emergency Department Visits

Factors Associated with Self-Reports of Limitations in Activities of Daily Living Among Medicare Fee-for-Service Recipients

A Longitudinal Multivariable Analysis: State Policies and Opioid Dispensing in Medicare Beneficiaries Undergoing Surgery

Pediatric Oral Health Services in Medicaid Managed Care and Fee for Service

Reviewing, Refining, and Validating Claims-Based Algorithms of Frailty and Functional Impairment: Final Report

Effects of the Million Hearts Model on Myocardial Infarctions, Strokes, and Medicare Spending: A Randomized Clinical Trial

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Fee-for-Service for Health Care

Fee-for-Service for Health Care

Explore RAND’s Work on this Topic

Error

Viability of Hospital-Based Emergency Care in U.S. Faces Peril; Reforms Needed to Boost Payments

Strategies for Sustaining Emergency Care in the United States

Rates of Disenrollment From Medicare Advantage Plans Are Higher for Racial/Ethnic Minority Beneficiaries

Building Provider Networks for Enrollees in Both Medicare and Medi-Cal

Personal Physician Access by Preferred Language Among Medicare Advantage and Medicare Fee-for-Service Older Adults

Financial Interventions to Improve Screening in Primary Care: A Systematic Review

Medicaid Managed Care and Pediatric Dental Emergency Department Visits

Factors Associated with Self-Reports of Limitations in Activities of Daily Living Among Medicare Fee-for-Service Recipients

A Longitudinal Multivariable Analysis: State Policies and Opioid Dispensing in Medicare Beneficiaries Undergoing Surgery

Pediatric Oral Health Services in Medicaid Managed Care and Fee for Service

Reviewing, Refining, and Validating Claims-Based Algorithms of Frailty and Functional Impairment: Final Report

Effects of the Million Hearts Model on Myocardial Infarctions, Strokes, and Medicare Spending: A Randomized Clinical Trial

Oops! An unexpected error has occurred.