Health Care Financing

686 Results

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Commentary

Apr 23, 2025

Redesigning Health Care Plans to Lower Costs

Employers and employees can use their health insurance benefit designs to make health care more affordable, and without the need for further taxpayer subsidies, by designing tiered networks of providers who are responsible for meeting specific total cost of care benchmarks.
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

Mar 27, 2025

Evaluation of the Medicare Advantage Value-Based Insurance Design Model Test: 2020 to 2023

We evaluated the Medicare Advantage (MA) Value-Based Insurance Design Model test that allowed participating MA parent organizations to offer supplemental benefits, financial and nonfinancial incentives to beneficiaries, and hospice benefits.
Commentary

Feb 28, 2025

NHS Use of Private Hospitals? Evidence Required

Reducing waiting lists and times for nonemergency health care in the United Kingdom is a top priority for the UK Government. With only modest funding growth and a more constrained labour market, what impact will increasing NHS spending on private sector provision have?
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

Jan 10, 2025

The Association Between the Medicare Advantage Value-Based Insurance Design Model Test and Beneficiary Risk Scores: Supplementary Analyses of 2023 Evaluation Report Findings

In this report, we conduct sensitivity analyses to better understand the relationship between Medicare Advantage Value-Based Insurance Design (VBID) and risk scores.
Research

Jan 10, 2025

Preview of Findings from the Evaluation of the "VBID General" Component of the Medicare Advantage Value-Based Insurance Design Model Test (2020-2023)

This report previews key evaluation findings for the period between 2020 and 2023 for VBID General, describing model participants, their interventions, and implementation experiences and summarizing the direction of key model outcomes.
Research

Dec 18, 2024

Methods of Assessing Duplication of Benefits with Patient Care Revenue: As Applied by the Federal Emergency Management Agency to Health Care Providers' Public Assistance Claims During the COVID-19 Emergency

Researchers developed analytic methods and subsequent guidance to identify duplication of benefits with patient care revenue in Federal Emergency Management Agency Public Assistance applications and reviewed select applications for such duplication.
Press

Dec 3, 2024

Two-Thirds of the Growth in High Intensity Hospital Stays Not Explained by Changes in Patient Demographics or Pre-Existing Comorbidities

In five states over nearly a decade, hospitals have increased how frequently they document patients as needing the highest intensity care, which has led to hospitals receiving billions in extra payments from health plans and government programs.
Nov 13, 2024

Benefits and Affordability

RAND Health Care research addressing health care benefits and affordability.

Health Care Financing

Health Care Financing

Why Won't Health Insurance Companies Pay for New Drugs?

Explore RAND’s Work on this Topic

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Redesigning Health Care Plans to Lower Costs

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

Evaluation of the Medicare Advantage Value-Based Insurance Design Model Test: 2020 to 2023

NHS Use of Private Hospitals? Evidence Required

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

The Association Between the Medicare Advantage Value-Based Insurance Design Model Test and Beneficiary Risk Scores: Supplementary Analyses of 2023 Evaluation Report Findings

Preview of Findings from the Evaluation of the "VBID General" Component of the Medicare Advantage Value-Based Insurance Design Model Test (2020-2023)

Methods of Assessing Duplication of Benefits with Patient Care Revenue: As Applied by the Federal Emergency Management Agency to Health Care Providers' Public Assistance Claims During the COVID-19 Emergency

Two-Thirds of the Growth in High Intensity Hospital Stays Not Explained by Changes in Patient Demographics or Pre-Existing Comorbidities

Benefits and Affordability

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Health Care Financing

Health Care Financing

Why Won't Health Insurance Companies Pay for New Drugs?

Explore RAND’s Work on this Topic

Error

Redesigning Health Care Plans to Lower Costs

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

Evaluation of the Medicare Advantage Value-Based Insurance Design Model Test: 2020 to 2023

NHS Use of Private Hospitals? Evidence Required

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

The Association Between the Medicare Advantage Value-Based Insurance Design Model Test and Beneficiary Risk Scores: Supplementary Analyses of 2023 Evaluation Report Findings

Preview of Findings from the Evaluation of the "VBID General" Component of the Medicare Advantage Value-Based Insurance Design Model Test (2020-2023)

Methods of Assessing Duplication of Benefits with Patient Care Revenue: As Applied by the Federal Emergency Management Agency to Health Care Providers' Public Assistance Claims During the COVID-19 Emergency

Two-Thirds of the Growth in High Intensity Hospital Stays Not Explained by Changes in Patient Demographics or Pre-Existing Comorbidities

Benefits and Affordability

Oops! An unexpected error has occurred.