Health Care Financing and Payment

RTI researchers study policy issues in health care financing and reimbursement, including the design and evaluation of health care insurance, payment, and financing systems. Paying particular attention to the role of financial incentives in health care, we analyze costs, financial outcomes, quality, and efficiency. Our researchers design, implement, and evaluate payment methods as well as analyze the choices and decisions of individuals and the behavior of health care professionals and institutions in the health care marketplace.

Focus Areas

  • Provider and health plan reimbursement and payment systems
  • Financial incentives, including pay for performance
  • Health care costs and utilization
  • Health care markets and competition
  • Benefits and characteristics of alternative health insurance models

Capabilities

  • Development, implementation, and evaluation of payment and delivery models for government health programs
  • Rate-setting and simulation analysis
  • Descriptive and policy analysis of large medical claims and prescription drug data sets
  • Risk adjustment methodologies

Clients

  • American Association of Nurse Anesthetists
  • Centers for Disease Control and Prevention
  • Centers for Medicare & Medicaid Services
  • Department of Defense TRICARE Management Authority
  • Department of Health and Human Services' Assistant Secretary for Planning and Evaluation
  • Health Resources and Services Administration
  • Institute of Medicine
  • Medicare Payment Advisory Commission
  • National Cancer Institute
  • States of Maryland, Massachusetts, New Hampshire, and West Virginia
  • U.S. News & World Report
New Book Shows Disproportionate Financial Burden of Health Care Spending on Households, Private Businesses, State & Local Governments

Health care spending has increased dramatically in the past 50 years and now accounts for nearly one out of every five d... Read more »