Christine Eibner

Photo of Christine Eibner
Senior Economist; Professor, Pardee RAND Graduate School
Washington Office


Ph.D. in economics, University of Maryland, College Park

Media Resources

This researcher is available for interviews.

To arrange an interview, contact the RAND Office of Media Relations at (310) 451-6913, or email

More Experts


Christine Eibner is a senior economist at the RAND Corporation and director of RAND COMPARE, a project that uses economic modeling to predict how individuals and employers will respond to major health care policy changes. She is also a professor at the Pardee RAND Graduate School.

Eibner currently leads several projects related to the Affordable Care Act (ACA), including a study for the U.S. Department of Health and Human Services that will assist state Medicaid programs with income counting and federal matching assistance percentage calculations, given changes set forth in the ACA. Previously, Eibner led projects for the U.S. Department of Labor to assess the implications of the ACA for employers. As part of this work, she evaluated the possibility that firms might strategically avoid regulation (e.g., by self-insuring).

Eibner's research has been published in major health policy journals, including Health Affairs, Health Services Research, and The New England Journal of Medicine. She was recently featured in a panel discussion organized by The Wall Street Journal that considered employers' responses to the ACA. Eibner earned her bachelor's degree in English and economics from the College of William and Mary and her doctorate in economics from the University of Maryland, College Park.

Recent Projects

  • Socioeconomic disparities in health
  • Employer-sponsored insurance
  • Military medical policy
  • Modeling the effect of health care policy changes on costs, insurance coverage, and other outcomes
  • Analysis of health care reform options

Selected Publications

Saltzman, Evan and Christine Eibner, Evaluating the "Keep Your Health Plan Fix": Implications for the Affordable Care Act Compared to Legislative Alternatives, RAND (RR-529), 2014

Miller, Amalia R., Christine Eibner, Carole Roan Gresenz, "Financing of Employer Sponsored Health Insurance Plans Before and After Health Reform: What Consumers Don't Know Won't Hurt Them?" International Review of Law and Economics, 36:36-47, 2013

Price, Carter C. and Christine Eibner, "For States that Opt Out of Medicaid Expansion: 3.6 Million Fewer Insured and $8.4 Billion Less in Federal Payments," Health Affairs, 32(6):1030-36, 2013

Cordova, Amado, Christine Eibner, Raffaele Vardavas, James Broyles, Federico Girosi, "Modeling Employer Self-Insurance Decisions After the Affordable Care Act," Health Services Research, 48(2p2):850-65, 2013

Cordova, Amado, Frederico Girosi, Sarah Nowak, Christine Eibner, Kenneth Finegold, "The COMPARE Microsimulation Model and the U.S. Affordable Care Act," International Journal of Microsimulation, 6(3):78-117, 2013

Griffin, Beth Ann, Christine Eibner, Chloe E. Bird, Adria Jewell, Karen Margolis, Regina Shih, Mary Ellen Slaughter, Eric A. Whitsel, Matthew Allison, Jose J. Escarce, "The Relationship between Coronary Heart Disease and Urban Sprawl in Women," Health & Place, 20:51-61, 2013

Eibner, Christine, Dana P. Goldman, Jeffrey Sullivan, Alan M. Garber, "Three Large-Scale Changes to the Medicare Program Could Curb Its Costs but also Reduce Enrollment," Health Affairs, 32(5):891-99, 2013

Benjamin F. Mundell, Mark W. Friedberg, Christine Eibner and William C. Mundell, "US Military Primary Care: Problems, Solutions, And Implications For Civilian Medicine," Health Affairs, 32(11):1949-55, 2013


  • Doctor explaining diagnosis to her female patient

    Exchange Tax Credits or Employer Coverage: What's Better for Low-Income Americans?

    As the King v. Burwell case approaches, there's likely to be more discussion about potential modifications to the ACA's tax credit structure. Policymakers might consider whether there are opportunities to level the playing field for low-income workers, regardless of whether their employers offer insurance.

    Feb 12, 2015 | The Morning Consult

  • A woman and two receptionists at a clinic

    How Much Are You Paying for Health Care?

    Americans devote about 17 percent of GDP to health care consumption. In 2013, U.S. GDP was $16.8 trillion, and the population was 316 million. Together, these numbers imply that Americans spent about $9,200 per person on health care. Who's paying for this?

    Jan 15, 2015 | The Morning Consult

  • Doctor with a clipboard and patients in a waiting room

    The ACA's Tax Credits Keep Premiums Low for Everyone

    The ACA's tax credits currently contain several properties that stabilize premiums while providing assistance to low- and moderate-income people. As policymakers contemplate modifications to the ACA that would affect the tax credits, it will be important to consider not only how they affect those who are eligible, but also how they affect premiums for everyone else.

    Nov 10, 2014 | The Morning Consult

  • A man looks over the ACA signup page on, October 2, 2013

    Happy Birthday Healthcare.Gov

    This month marks the one-year anniversary of the health insurance Marketplaces -- the online exchanges for buying and selling insurance created by the Affordable Care Act. Last year, after a near-disastrous start that included massive website failures, the Marketplaces rebounded to a surprising success.

    Oct 16, 2014 | The Morning Consult

  • doctor with senior patient

    Survey Estimates Net Gain of 9.3 Million American Adults with Health Insurance

    Early survey evidence indicates that the Affordable Care Act has already led to a substantial increase in insurance coverage. Consistent with the ACA's design, this gain in insurance has come not only from new enrollment in the marketplaces, but also from new enrollment in employer coverage and Medicaid.

    Apr 8, 2014 | The RAND Blog

  • People standing in line

    Who Does the Affordable Care Act Leave Behind?

    Although one of the primary objectives of the Affordable Care Act is to achieve near-universal health insurance coverage, the Congressional Budget Office projects that 30 million residents, more than 10 percent of the nonelderly population, will remain uninsured after the major provisions of the ACA take full effect.

    Mar 7, 2014 | The RAND Blog

  • patients waiting to see a doctor

    First Steps on a Long Road: Three Key Findings from ACA's Early Enrollment Numbers

    The vision of the ACA was “no wrong door” and an affordable option for everyone, but it appears based on the data available so far that, in the non-Medicaid expansion states, there is a closed door.

    Feb 10, 2014 | Health Affairs Blog

  • health insurance claim form, pen, calculator

    Employer-Provided Health Insurance: Why Does It Persist, and Will It Continue after 2014?

    As the ACA is implemented, policy makers should be attuned to potential inefficiencies and inequities created by a system with different regulatory and tax rules for small employers, large employers, and individual health plans. Attempts to equalize the playing field may be difficult.

    Dec 2, 2013 | New England Journal of Medicine

  • U.S. President Barack Obama talks about the Affordable Care Act in the Brady Press Briefing Room at the White House in Washington, November 14, 2013

    Four Questions on Canceled Insurance Policy Fix

    David Mastio, Forum editor at USA TODAY, asked RAND's Christine Eibner four questions about President Obama's plan to fix the problem with people getting their insurance canceled.

    Nov 15, 2013 | USA Today

  • doctor examining newborn baby

    Will the Affordable Care Act Make Health Care More Affordable?

    Out-of-pocket spending on health care will decrease for both the newly insured as well as for those changing their source of insurance. These decreases will be largest for those who would otherwise be uninsured.

    Oct 1, 2013 | The Health Care Blog

  •  Doctor with young woman

    Will Small Firms Self-Insure After Jan. 1, 2014?

    Because of the ACA's regulations, some smaller employers with young and healthy workers are considering avoiding the purchase of health care coverage in the regulated market, opting instead to self-insure their employees.

    Jun 17, 2013 | The RAND Blog

  • What Happens Without Individual Mandate?

    If the individual mandate were ruled unconstitutional, subsidies and the age structure of premiums should keep enough healthy people in the insurance exchanges to prevent huge spikes in premiums, write Carter C. Price and Christine Eibner.

    Mar 21, 2012 | USA Today