Publications on the Patient Protection and Affordable Care Act
Selected Publications, 2007 to Present
2011
The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in California: An Analysis from RAND COMPARE — April 1, 2011
The Patient Protection and Affordable Care Act contains substantial new requirements aimed at increasing rates of health insurance coverage. This report provides estimates, based on the RAND COMPARE microsimulation model, of how the law will affect health insurance coverage and state government spending on health care in California through 2020.
The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in Connecticut: An Analysis from RAND COMPARE — April 1, 2011
The Patient Protection and Affordable Care Act contains substantial new requirements aimed at increasing rates of health insurance coverage. This report provides estimates, based on the RAND COMPARE microsimulation model, of how the law will affect health insurance coverage and state government spending on health care in Connecticut through 2020.
The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in Illinois: An Analysis from RAND COMPARE — April 1, 2011
The Patient Protection and Affordable Care Act contains substantial new requirements aimed at increasing rates of health insurance coverage. This report provides estimates, based on the RAND COMPARE microsimulation model, of how the law will affect health insurance coverage and state government spending on health care in Illinois through 2020.
The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in Montana: An Analysis from RAND COMPARE — April 1, 2011
The Patient Protection and Affordable Care Act contains substantial new requirements aimed at increasing rates of health insurance coverage. This report provides estimates, based on the RAND COMPARE microsimulation model, of how the law will affect health insurance coverage and state government spending on health care in Montana through 2020.
The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in Texas: An Analysis from RAND COMPARE — April 1, 2011
The Patient Protection and Affordable Care Act contains substantial new requirements aimed at increasing rates of health insurance coverage. This report provides estimates, based on the RAND COMPARE microsimulation model, of how the law will affect health insurance coverage and state government spending on health care in Texas through 2020.
2010
Analysis of the Affordable Health Care for America Act (H.R. 3962) — January 7, 2010
Using the COMPARE microsimulation model, estimates proposed health care reform legislation's effects on the number of uninsured, the costs to the federal government and the nation, revenues from penalty payments, and consumers' health care spending.
Analysis of the Patient Protection and Affordable Care Act (H.R. 3590) — February 11, 2010
Using the COMPARE microsimulation model, estimates the effects of the Patient Protection and Affordable Care Act (H.R. 3590) on the number of uninsured, the costs to the federal government and the nation, and consumers' health care spending.
Could We Have Covered More People at Less Cost? Technically, Yes; Politically, Probably Not — January 1, 2010
Using the COMPARE (Comprehensive Assessment of Reform Efforts) microsimulation model, this study evaluated how the recently enacted health reform law performed compared with alternative designs on measures of effectiveness and efficiency and found that only a few different approaches would cover more individuals at a lower cost to the government; however, these appeared politically untenable because they included substantially higher penalties, lower subsidies, or less generous Medicaid expansion.
Coverage, Spending, and Consumer Financial Risk: How Do the Recent House and Senate Health Care Bills Compare? — February 12, 2010
Compares how two health care reform bills, HR. 3962 and H.R. 3590, passed by the U.S. House and Senate, respectively, in late 2009 compare on a variety of projections made using the RAND COMPARE microsimulation model.
The Effects of the Affordable Care Act on Workers' Health Insurance Coverage — September 1, 2010
The nature of employer-sponsored coverage may change substantially after implementation of the Patient Protection and Affordable Care Act, with an increase in the number of workers offered coverage through the health insurance exchanges.
Establishing State Health Insurance Exchanges: Implications for Health Insurance Enrollment, Spending, and Small Businesses — August 11, 2010
The RAND Corporation's Comprehensive Assessment of Reform Efforts microsimulation model predicts that the Patient Protection and Affordable Care Act will increase insurance offer rates among small businesses. By 2016, offer rates would increase from 53 to 77 percent for firms with ten or fewer workers, from 71 to 90 percent for firms with 11 to 25 workers, and from 90 percent to nearly 100 percent for firms with 26 to 100 workers.
Grandfathering in the Small Group Market Under the Patient Protection and Affordable Care Act: Effects on Offer Rates, Premiums, and Coverage — June 2, 2010
The Patient Protection and Affordable Care Act (PPACA) will introduce new health insurance options. To prevent changes in current coverage, PPACA exempts existing plans from some regulations, a policy known as “grandfathering.” While grandfathering in the small group market may lead to slightly higher premiums in state insurance exchanges, it is also associated with higher employer-sponsored insurance enrollment and lower government spending.
Patient Protection and Affordable Care Act: Laying the Infrastructure for National Health Reform — June 1, 2010
This article discusses the range of health information technology initiatives included in the 2009 economic stimulus legislation that collectively are known as the Health Information Technology for Economic and Clinical Health (HITECH) initiative; these include proposed regulations on "meaningful use" of information technology and standards; funding of regional extension centers; and support for the development and use of clinical registries and linked health outcomes research networks.
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