Implementing the Affordable Care Act

The Patient Protection and Affordable Care Act (ACA) represents one of the most sweeping reforms of the U.S. health care system ever enacted.

RAND’s analysis of the ACA has examined the impact of the law’s key provisions, how the law has evolved during the course of implementation, and changes to the number of uninsured during the initial enrollment period.

  • Report

    Jun 30, 2015

    Helping the Newly Insured Under the Affordable Care Act

    The Affordable Care Act has helped millions of Americans gain access to health insurance. Many have never been insured. What do they need to connect to the health system and remain engaged with their care?

What's Hot Now

  • Report

    Alternatives to the ACA's Affordability Firewall

    Oct 5, 2015

    RAND examined the policy impacts of the Affordable Care Act's "affordability firewall," which limits subsidies to individuals lacking access to alternative sources of coverage that are "affordable," and investigated two potential modifications.

  • Announcement

    Deborah Freund Joins the RAND Corporation

    Sep 10, 2015

    Deborah Freund, a prominent health care economist and higher education leader, has been appointed to the RAND Corporation's Paul O'Neill Alcoa Professorship in Policy Analysis.

  • Report

    Tracking Health Insurance Enrollment: A Look at the Methodology

    May 6, 2015

    Understanding insurance transitions is critical to evaluating success of the ACA and identifying opportunities for improvement. This report describes the methodology used to track transitions in health insurance enrollment between November 2014 and December 2015.

  • Research Brief

    How Would Alternative Subsidy Structures Affect Stability in the ACA Individual Market?

    Apr 6, 2015

    Subsidies in the ACA's health insurance exchanges help stabilize the insurance market by encouraging younger, healthier people to stay enrolled in the face of premium hikes. Critics of the current subsidies have proposed alternatives. What effects would these have?