Insurance Claims

26 Results

number of items to display at a time

Research

Feb 21, 2025

Demographic Variation In US Outpatient Hydroxychloroquine And Ivermectin Use During The COVID-19 Pandemic

Using insurance claims for 8.1 million patients from all fifty US states, we evaluated COVID-19-associated outpatient hydroxychloroquine and ivermectin use and spending throughout the public health emergency versus pre-public health emergency rates.
Research

Oct 16, 2024

Implementation Of New Mexico's 'No Behavioral Health Cost Sharing' Law: A Qualitative Study

This qualitative study explores key informant perceptions (i.e., clinicians, insurers, and state officials) about implementing New Mexico's No Behavioral Health Cost Sharing law and how the law may affect downstream outcomes - spending and access.
Research

Sep 5, 2024

Public Attitudes Toward Risk-Based Pricing and Risk-Sharing in Insurance

The authors of this survey study gauge the U.S. adult population’s attitudes toward full risk-sharing, partial risk-sharing, and risk-based pricing in setting health, term life, auto, and flood insurance premiums.
Research

Jul 9, 2024

What Is the Evidence for Social Inflation? Trends in Trial Awards and Insurance Claim Payments

Social inflation describes social and behavioral trends that are said to expand the liability of parties allegedly responsible for harms and their insurers. The authors look for trends consistent with the expected effects of social inflation.
Research

May 1, 2024

Comparative Performance of Three Claims-Based Frailty Measures Among Medicare Beneficiaries

This study compares performance of three claims-based algorithms among Medicare beneficiaries. Frailty scores were added to baseline regression models to predict outcomes measured in the following year.
Research

Nov 6, 2023

EHR Implementation Guide – Identifying Frailty Using Existing Health Data: Challenges and Opportunities for Health Systems

The guide describes the range of ways that EHRs are being used to capture data on frailty and functional impairment and best practices for implementing algorithms using EHR data for population management and patient-centered care.
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

Aug 16, 2023

Development and Validation of Algorithms to Predict Activity, Mobility, and Memory Limitations Using Medicare Claims and Post-Acute Care Assessments

This study aims to create Medicare-based algorithms for predicting functional impairment, crucial for mortality and care use. Using machine learning and PAC data, memory and activity limitations were assessed with moderate success. While promising for PAC, broader older adult application is uncertain.
Research

Jul 19, 2023

One- to Four-Family Properties with Multiple Losses Insured by the National Flood Insurance Program: Property Characteristics, Community Demographics, and Mitigation Strategies

This report examines properties with multiple losses insured by the National Flood Insurance Program and the communities in which they are located to help inform decisionmaking relevant to floodplain management, flood insurance, and mitigation.
Research

Jun 30, 2021

Comparison of Definitions for Identifying Urgent Care Centers in Health Insurance Claims

The objective of this study is to describe and validate two claims-based urgent care centers definitions.
Research

Feb 12, 2021

Impact of Consumer-Directed Health Plans on Low-Value Healthcare

Switching to a consumer-directed health plan is associated with reduced overall outpatient spending, but not with reduced spending on low-value healthcare services.
Research

Feb 12, 2021

Effects of Employer-Offered High-Deductible Plans on Low-Value Spending in the Privately Insured Population

This study uses insurance claims data and changes in plan offerings within firms over time to estimate treatment effects of high-deductible plans on spending on 24 low-value services received in the outpatient setting.

Insurance Claims

Insurance Claims

Explore RAND’s Work on this Topic

Error

Demographic Variation In US Outpatient Hydroxychloroquine And Ivermectin Use During The COVID-19 Pandemic

Implementation Of New Mexico's 'No Behavioral Health Cost Sharing' Law: A Qualitative Study

Public Attitudes Toward Risk-Based Pricing and Risk-Sharing in Insurance

What Is the Evidence for Social Inflation? Trends in Trial Awards and Insurance Claim Payments

Comparative Performance of Three Claims-Based Frailty Measures Among Medicare Beneficiaries

EHR Implementation Guide – Identifying Frailty Using Existing Health Data: Challenges and Opportunities for Health Systems

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

Development and Validation of Algorithms to Predict Activity, Mobility, and Memory Limitations Using Medicare Claims and Post-Acute Care Assessments

One- to Four-Family Properties with Multiple Losses Insured by the National Flood Insurance Program: Property Characteristics, Community Demographics, and Mitigation Strategies

Comparison of Definitions for Identifying Urgent Care Centers in Health Insurance Claims

Impact of Consumer-Directed Health Plans on Low-Value Healthcare

Effects of Employer-Offered High-Deductible Plans on Low-Value Spending in the Privately Insured Population

Oops! An unexpected error has occurred.

RAND Headquarters

Federally Funded Research Divisions

Social and Economic Policy Divisions

International

Insurance Claims

Insurance Claims

Explore RAND’s Work on this Topic

Error

Demographic Variation In US Outpatient Hydroxychloroquine And Ivermectin Use During The COVID-19 Pandemic

Implementation Of New Mexico's 'No Behavioral Health Cost Sharing' Law: A Qualitative Study

Public Attitudes Toward Risk-Based Pricing and Risk-Sharing in Insurance

What Is the Evidence for Social Inflation? Trends in Trial Awards and Insurance Claim Payments

Comparative Performance of Three Claims-Based Frailty Measures Among Medicare Beneficiaries

EHR Implementation Guide – Identifying Frailty Using Existing Health Data: Challenges and Opportunities for Health Systems

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

Development and Validation of Algorithms to Predict Activity, Mobility, and Memory Limitations Using Medicare Claims and Post-Acute Care Assessments

One- to Four-Family Properties with Multiple Losses Insured by the National Flood Insurance Program: Property Characteristics, Community Demographics, and Mitigation Strategies

Comparison of Definitions for Identifying Urgent Care Centers in Health Insurance Claims

Impact of Consumer-Directed Health Plans on Low-Value Healthcare

Effects of Employer-Offered High-Deductible Plans on Low-Value Spending in the Privately Insured Population

Oops! An unexpected error has occurred.