RAND Launches Unique Tool to Evaluate Health Care Proposals
‘COMPARE’ provides global positioning system for health care policy
COMPARE (Comprehensive Assessment of Reform Efforts) is a first-of-its-kind online resource that synthesizes what is known about the current heath care system, provides information on proposals to modify the system and delivers insight about how potential policy changes are likely to affect health care delivery and costs in
The centerpiece of COMPARE is a policy options “dashboard” that offers both a snapshot and an in-depth look at the implications that various policy changes could have on a range of outcomes like costs to government and others, quality of care, and access to care, as well as the ease with which changes could be implemented. The dashboard also depicts gaps in our knowledge about the consequences of changes in our health care system.
Results on the dashboard are informed by a review of prior experience with the policy options and a state-of-the-art microsimulation modeling tool that allows policymakers to estimate the impact of specific policy changes on coverage, spending, consumer financial risk and health. COMPARE’s modeling tool is uniquely transparent; users can see how much a change in a particular design element — for example, the different sizes of firms subject to an employer mandate — would affect outcomes.
RAND developed COMPARE to provide an objective, nonpartisan source of analysis that can inform the anticipated upcoming public dialogue about health care reform and to help policymakers develop more effective options going forward.
“COMPARE is a global positioning system for health care policy,” said
“There is no magic solution to our nation’s health care challenges, and every proposal likely to emerge will contain inevitable trade-offs between cost and quality of care and access to it. COMPARE will help make realistic assessments, based on objective standards and facts, and therefore encourage a full understanding of the immensely complicated benefits and risks of the policy choices ahead.”
Among the new findings revealed in the dashboard:
- An individual mandate is the most cost-effective strategy for decreasing the number of uninsured.
- For most options, how the policy is designed has a significant impact on how effective it will be and whether there will be unintended consequences. For individual mandates, for example, the level of subsidies that would be available, the development of a national insurance exchange and the penalties for noncompliance all determine likely reductions in the uninsured and the associated costs to the government and others.
- There is a link between having health insurance and life expectancy. The model estimates that life expectancy would increase by 6 months on average among newly insured persons who maintain coverage until age 65.
- There is no evidence that many of the proposals for saving money — prevention, disease management, pay-for-performance, malpractice reform — will actually reduce spending on health care in the next decade.
- Payment reform options are likely to produce the greatest opportunity for reducing health care spending, but most of the proposed changes have not been tested on a wide scale.
COMPARE is a one-stop location for detailed information on the present state of the American health care system. Data on spending, reliability, patient experience, coverage and capacity will provide visitors to the site with a broad understanding of current policy and health in
“All the parties in the coming health care debate will have their own opinions on how best to address the challenges we face,” said
COMPARE is built to last with a modular, flexible design that will enable RAND to continue to contribute to debates about health policy issues into the future. RAND researchers plan to expand the modeling to estimate the effects of different proposals for improving the delivery of health services, reducing the rate of cost growth and reforming payment systems. The COMPARE team will interact with policymakers to provide information that can shape the design of new proposals.
To access COMPARE, please visit www.randcompare.org. The website will be live at
COMPARE is funded by a broad range of individuals, corporations, corporate foundations, philanthropic foundations, and health system stakeholders.
To date, funders include the following: AARP; Abraxis BioScience,
RAND Health, a division of the RAND Corporation, is the nation’s largest independent health policy research program, with a broad research portfolio that focuses on quality, costs and health services delivery, among other topics.
The RAND Corporation is a nonprofit research organization providing objective analysis and effective solutions that address the challenges facing the public and private sectors around the world. To sign up for RAND e-mail alerts: http://www.rand.org/publications/email.html
SOURCE The RAND Corporation