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RAND advances understanding of health and health behaviors and examines how the organization and financing of care affect costs, quality, and access. RAND's body of research includes innovative studies of health insurance, health care reform, health information technology, and women's health, as well as topical concerns such as obesity, complementary and alternative medicine, and PTSD in veterans and survivors of catastrophe.

Commentary

Telehealth Alone Will Not Increase Health Care Access for the Underserved

Dec 16, 2016

Telehealth can bring medical care into communities with limited access to providers or facilities and reduce wait times. But it requires integration into a well-functioning health care system that has the capacity to address the follow-up needs that telehealth generates.
Journal Article

Changes to Kids' Menus May Help Curb Childhood Obesity

Dec 5, 2016

Most kids' menu items at the top 200 U.S. restaurant chains exceed the calorie counts recommended by nutrition experts. The restaurant industry can embrace calorie guidelines to promote children's health and reduce childhood obesity.

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Report

Modeling Dr. Dynasaur 2.0 Coverage and Finance Proposals: Effects of the Expansion of Vermont's Dr. Dynasaur Program to All Individuals Through Age 25

The authors assessed an expansion of Vermont's Dr. Dynasaur program that would cover all residents through age 25. The current program provides health coverage for children ages 0-18 with family incomes below 317 percent of the federal poverty level.

Jan 18, 2017
Report

Report

The Air Force Deployment Transition Center: Assessment of Program Structure, Process, and Outcomes

Evaluates the Air Force's Deployment Transition Center, which was established in 2010 to provide airmen returning from combat missions an opportunity to decompress and share lessons learned before returning to their home stations.

Jan 16, 2017
Multimedia

The RAND Health Insurance Experiment: A Retrospective at 40 Years

In June 2016, RAND hosted a two-day celebration to mark the 40th anniversary of the RAND Health Insurance Experiment (HIE), the largest, most comprehensive, evidence-based health policy study in U.S. history.

Jan 12, 2017
Report

Report

Testing New Codes to Capture Post-Operative Care

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.

Jan 11, 2017
Commentary

Repeal-and-Delay Would Make Budget Neutrality for ACA Replacement Difficult

As Congress considers repealing and replacing the Affordable Care Act it will need to consider how federal budget scoring can affect the fate of legislation. Depending on the ultimate cost of a replacement, finding enough savings to offset costs while maintaining budget neutrality could make it difficult to pass a replacement.

Jan 11, 2017
Report

Engaging Consumers in the Quality Measurement Enterprise

This report explores the experience of consumer advocates in engaging with quality measurement, identifies barriers to effective consumer engagement, and suggests ways to address those barriers.

Jan 10, 2017
Journal Article

Journal Article

Fostering Evidence-Based Quality Improvement for Patient-Centered Medical Homes: Initiating Local Quality Councils to Transform Primary Care

Primary care quality councils – consisting of local leaders from medicine, nursing, administration, and a local Veteran patient representative – successfully cultivated quality improvement leadership in 6 VA patient-centered medical homes.

Jan 10, 2017
Commentary

Improving MACRA's Chances of Success

Starting in 2019, the Medicare Access and CHIP Reauthorization Act will integrate and potentially simplify performance measurement by combining a number of measures and programs. Research on performance measurement provides a good deal of insight on how to avoid several pitfalls in MACRA's rollout.

Jan 9, 2017
Report

Supporting the U.S. Air Force's Wounded Warriors

A high proportion of airmen injured in combat experience mental health issues. And 15 percent of those surveyed were unemployed. Recovery and reintegration are likely to take a long time. This will require ongoing program evaluation and continuous efforts to improve program offerings.

Jan 6, 2017
Report

2016 RAND Summer Institute

Video session from the 23rd Annual RAND Summer Institute, held July 11-14, 2016, in Santa Monica, California, which addresses critical issues facing our aging population.

Jan 6, 2017
Report

Preventing, Identifying, and Treating Prescription Drug Misuse Among Active-Duty Service Members

This report presents the framework of an analytic tool that can help the military predict future trends in PDM based on current demographics of active-duty service members and rates of injury and prescribing of prescription drugs.

Jan 4, 2017
Commentary

Can a Continuous Coverage Requirement Produce a Healthy Insurance Market?

A continuous coverage requirement aims to discourage individuals from waiting until they become sick to buy insurance. This works well in theory. But there is little evidence on how it might work in practice.

Jan 4, 2017
Journal Article

Journal Article

A Comparison of Home-Based Versus Outreach Event-Based Community HIV Testing in Ugandan Fisherfolk Communities

Among Ugandan fisherfolk, more new HIV cases were identified in home-based testing than in community-based testing, but fewer of those tested at home were linked to care.

Jan 3, 2017
Journal Article

Journal Article

The National Adult Immunization Plan: Strengthening Adult Immunization Through Coordinated Action

Addressing persistent structural and policy barriers to adult immunization will benefit all Americans.

Jan 3, 2017
Journal Article

Journal Article

Developing the Improving Post-Event Analysis and Communication Together (Impact) Tool to Involve Patients and Families in Post-Event Analysis

Thoughtful conversations with patients and families about what caused an adverse event may uncover information and perspectives otherwise missing from post-event analyses.

Jan 3, 2017
Journal Article

Journal Article

Progress at the Intersection of Patient Safety and Medical Liability: Insights from the Ahrq Patient Safety and Medical Liability Demonstration Program

Understanding adverse events as the result of complex "systems" failures--rather than of individual negligence--may improve patient safety.

Jan 3, 2017
Report

Effects of the ACA's Medicaid Expansion on Health Insurance Enrollment

Insurance coverage increases were larger for newly eligible adults in states that expanded Medicaid, but take-up was lower among men, Hispanics, and adults under 36.

Dec 29, 2016
Blog

Weight Gained Over the Holidays May Not Go Away

People are more likely to choose unhealthy foods from November to December. And the holiday pounds they gain account for 60 to 70 percent of weight gained per year.

Dec 20, 2016
Commentary

Toward a Learning Behavioral Health Care System

New technologies for capturing and sharing data have begun to transform the way providers practice medicine in the United States. Expanding these technologies to behavioral health care could enhance the delivery of services and improve outcomes for millions of Americans.

Dec 20, 2016

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RAND Topic:
Health and Health Care

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