Health Care Payment Approaches

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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.
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

Jul 5, 2024

Household Health Care Payments Under Rate Setting, Spending Growth Target, and Single-Payer Policies

This study examines who pays for health care under rate regulation, spending growth target, and single-payer health care polices. We used microsimulation to estimate household health care payments (out-of-pocket costs, premiums, and taxes).
Research

Mar 6, 2024

Are Disparities in Mental Health Care for Medicaid Beneficiaries Lower in Managed Care?

Medicaid managed care has not improved the inequitable allocation of mental health care across racial and ethnic groups. Attention to monitoring of racial and ethnic differences in use of mental health care in Medicaid managed care is warranted.
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.

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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

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

Household Health Care Payments Under Rate Setting, Spending Growth Target, and Single-Payer Policies

Are Disparities in Mental Health Care for Medicaid Beneficiaries Lower in Managed Care?

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

Oops! An unexpected error has occurred.

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Health Care Payment Approaches

Health Care Payment Approaches

Related Topics

Explore RAND’s Work on this Topic

Error

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

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

Household Health Care Payments Under Rate Setting, Spending Growth Target, and Single-Payer Policies

Are Disparities in Mental Health Care for Medicaid Beneficiaries Lower in Managed Care?

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

Oops! An unexpected error has occurred.