Changes in Health Care Financing and Organization

An RWJF National Program

Field of Work: research on health care financing and health care delivery

Problem Synopsis: Health reform efforts at the local and national levels have involved significant and fundamental changes in the health care system's organization and delivery of services and have included efforts to control health care costs, which have been rising since the 1980s.

Synopsis of the Work: Changes in Health Care Financing and Organization (HCFO) began in 1989 and is one of RWJF's main vehicles for funding health services research and policy analysis. It is also the nation's largest source of private funding for investigator-initiated health policy research on financing and organization.

Key Results

  • As of March 2011, HCFO encompassed approximately 325 current and completed projects at universities and institutes across the country funded at more than $82.6 million. Each is directed by a principal investigator working alone or with a project team.

    The many studies already funded under HCFO have informed a wide variety of health care policies and provided a better understanding of issues such as:

    • How economic conditions affect health care coverage and cost
    • Economic and organizational factors related to care coordination
    • How the individual insurance market operates
    • Chronic and long-term care needs, organization of service delivery and costs