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The most trusted source of objective health policy research

With the complex process of implementing the ACA underway, RAND research is tracking the progress of implementation and assessing the potential consequences of choices facing federal and state governments, employers, families, and individuals.

Our work has examined the law's likely impact in four key policy areas: costs and coverage, state exchanges, Medicaid expansion, and payment reform and new models of care.

  • 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.

  • The RAND Military Caregivers Study

    The RAND Military Caregivers Study focuses on caregivers of wounded, ill, and injured U.S. military servicemembers and veterans.

  • ACA Could Change Costs of Auto, Malpractice, and Other Liability Insurance

    As more Americans become newly covered under the Affordable Care Act, the cost of providing automobile insurance, workers compensation, and homeowners insurance may decline. Meanwhile, an increase in the number of people using the health care system may trigger a corresponding increase in the number of medical malpractice claims.

  • Journal Article

    Developing Public Health Regulations for Marijuana: Lessons from Alcohol and Tobacco

    Apr 17, 2014

    Policymakers can better understand decisions surrounding legal marijuana by drawing on lessons learned from research on public health approaches to regulating alcohol and tobacco.

  • Blog

    RAND Health Reform Opinion Study: Few Changes After Open Enrollment

    Apr 16, 2014

    At the close of the ACA's open enrollment period, no significant changes in opinion were observed in the RAND Health Reform Opinion Study. This may be because open enrollment has no bearing on the health insurance of many people.

  • Blog

    Four Ways to Help Military Caregivers

    Apr 15, 2014

    As momentum continues to build, stakeholders across the board should keep in mind four broad recommendations for how to help military caregivers.

  • Blog

    Improving Physical Health Care for Adults with Serious Mental Illness

    Apr 14, 2014

    A promising strategy for helping adults with serious mental illness gain access to appropriate primary and preventive medical services is to integrate those services into a setting in which the population already receives care.

  • Announcement

    Team Wins Prestigious Translational Science Award for Depression Research

    Apr 9, 2014

    A team of community leaders and researchers from UCLA and RAND was recognized for a decade-long effort to improve depression care in low-income areas. “With community leaders and scientists working together,” said RAND's Kenneth Wells, “we can improve mental and physical health and reduce homelessness, as well as provide relief for those suffering from depression.”

  • Blog

    Is the ACA Keeping a Lid on Growth in Healthcare Spending?

    Apr 3, 2014

    Some point to the healthcare spending slowdown as an early success of the Affordable Care Act. Others warn that it's merely a hangover from the recession, and that the inevitable spending rebound will be exacerbated by the ACA coverage expansions.

  • Blog

    Military Caregivers Are Hidden Heroes

    Apr 2, 2014

    Right now there are 5.5 million wives, husbands, siblings, parents, children and friends devoted to the care of those injured fighting America's wars. Theirs is an all-consuming, emotionally draining task, one that has been driven for too long by loyalty and love, but little support.