Health and Health Care

RAND advances understanding of health and health behaviors and examines how the organization and financing of care affect costs, quality, and access. RAND's body of research—conducted primarily through the RAND Health division—includes innovative studies of health insurance, health care reform, health information technology, and women's health, as well as topical concerns such as obesity, complementary and alternative medicine, and PTSD in veterans and survivors of catastrophe.

Research conducted by: RAND Health; Military Health Policy Research; RAND Europe; RAND Drug Policy Research Center; RAND Justice, Infrastructure, and Environment; RAND Labor and Population; RAND Gulf States Policy Institute

Featured at RAND

The Affordable Care Act: Four Key Policy Areas

Obama signing the ACA

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.

Four Strategies to Contain America's Growing Health Care Spending

pills and coins

In its second term, the Obama Administration can restrain further health care spending growth—without compromising quality—by employing four broad strategies: fostering efficient and accountable providers, engaging and empowering consumers, promoting population health, and facilitating high-value innovation.

Blogs (42)

Covering Emergency Care for Young Adults: Is the ACA Doing Its Job? — Jun 5, 2013

A woman is wheeled through an emergency department on a gurney.

The dependent coverage provision of the Affordable Care Act is working as intended, say Andrew Mulcahy and Katherine Harris. In 2011, it spared individuals and hospitals from $147 million in emergency room costs.

Resources for Schools and Parents Following the Deadly Oklahoma Tornado — May 29, 2013

Tornado damaged classroom in the Tower Elementary School in Moore, OK

The toll of the tornado on school students in Moore, Oklahoma, cannot be overstated. To assist with recovery, RAND's CBITS program offers resources on psychological first aid for schools, as well as additional materials for educators and parents.

At 65, RAND Continues to Make a Difference — May 14, 2013

To celebrate our first 60 years, we created 60 Ways RAND Has Made a Difference, an online book to illustrate our most notable contributions. On our 65th birthday, we provide five of the most recent ways in which we at RAND are proud to have made a difference.

Getting To Outcomes: Improvement of Prevention Capacity Unveiled at a Summit of Maine Officials and Stakeholders — Apr 29, 2013

teens making a toast with shots

Community-based practitioners can improve their programs using Getting To Outcomes®, a toolkit, training, and onsite-support package which enhances their ability to prevent drug and alcohol use among youth.

Ask Me Anything: Beau Kilmer Answers Drug Policy Questions on Reddit — Apr 26, 2013

rally to legalize marijuana

Beau Kilmer, co-director of the RAND Drug Policy Research Center and coauthor of Marijuana Legalization: What Everyone Needs to Know, hosted an “Ask Me Anything” (AMA) session on Reddit this week. He fielded questions from participants on a variety of drug policy issues.

Can “Fixing” Food Deserts Curb Obesity? The Jury Is Still Out — Apr 18, 2013

food truck

We know that the obesity epidemic is a serious public health concern. What's less clear, however, is how our surroundings fit into the equation.

When CPR Is the Wrong Call: Mistaking Medical Treatment for Care — Mar 14, 2013

CPR valve mask

If a medical treatment worked only a fraction of the time and resulted in bad outcomes more often than not, practitioners would not make this treatment the default approach. Yet that is exactly what has happened when it comes to CPR for individuals 85 years and older who suffer cardiac arrest in a community setting.

RAND Is Helping Santa Monica Measure the City's Overall Well-being — Mar 1, 2013

RAND is helping its hometown of Santa Monica, Calif., become the first city in America to use a measurement of overall wellbeing to drive public policy.

“Implementation Science” May Help Providers Adopt New Treatments Despite Real-World Constraints — Feb 18, 2013

A new field called implementation science examines how to best support providers in taking up new, research-proven treatments and implementing them well. A RAND study will test how Boys & Girls Clubs carry out a program proven to prevent teen pregnancy and sexually transmitted infections, with and without an intervention called Getting To Outcomes®.

In Brief: Jordan R. Fischbach on Adapting to Climate Change on the Coast — Feb 6, 2013

In this video, Jordan Fischbach discusses how RAND helped Louisiana develop its 2012 Coastal Master Plan and key lessons that can make other communities more resilient in the face of natural disasters.

Are You a 'Wise' Health Care Consumer? — Feb 5, 2013

To be wise purchasers of health care services, consumers need access to accurate and understandable information about health plans and providers. They wrongly assume that more expensive providers are better than less expensive ones, despite inconsistent evidence that there is any link between health care cost and quality.

Paul O'Neill to President Obama: We Can Use the Internet to Address Medical Errors — Jan 30, 2013

Former Treasury Secretary Paul H. O'Neill, a RAND Trustee and Health Advisory Board member, published an open letter to President Obama in the Pittsburgh Post-Gazette this week in which he asks the president to use his executive power to address the problem of medical errors.

In Brief: Amelia M. Haviland on Consumer-Directed Health Plans — Jan 23, 2013

In this video, Amelia Haviland presents the results of several new RAND studies on cost and quality in consumer-directed health plans, and explores how switching plans affects the quality of care.

Health Care Personnel Could Be Key in Flu Prevention, Not Just Treatment — Jan 17, 2013

More than a dozen hospital staffers in four states have been terminated for refusing flu shots in the midst of a fierce flu season. Yet only one-tenth of health care employers require their staff to be vaccinated.

Modeling the Effects of the Affordable Care Act in Arkansas — Jan 7, 2013

The Medicaid expansion under the ACA will result in about 400,000 people newly insured in Arkansas by 2016. Of these, about 190,000 would be newly enrolled in Medicaid and the rest would be newly insured through the new insurance exchanges. The state is likely to save about $67 million for reduced uncompensated care costs for the uninsured.

Retired General Chiarelli Discusses Perceptions of Post-Traumatic Stress — Dec 31, 2012

Ret. Gen. Peter Chiarelli, who was Army vice chief of staff, discusses why he disagrees with the idea that the post-traumatic stress soldiers suffer is a disorder with RAND president and CEO Michael Rich at RAND's Politics Aside event.

Creating More Savvy Consumers Through Public Reporting — Dec 27, 2012

Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys are designed to capture patients' experiences in a systematic way that facilitates reporting the results publicly to help other consumers make more savvy care decisions. Consumer choices may influence providers to improve the care they offer so that they can effectively compete in the market.

ACOs: Making Organizations 'Accountable' for Care — Dec 19, 2012

The Affordable Care Act focuses primarily on extending coverage to uninsured Americans, but it is also intended to help curb cost growth. M. Susan Ridgely explains one of the key tools for doing that—the “accountable care organization,” an alternative delivery model intended to lower costs while also improving quality of care.

Teen Employment May Not Always Be a Boon for At-Risk Youth — Dec 18, 2012

For all teens, and especially those who have already experienced problems related to alcohol and drug use, it is essential to monitor the quality of work experiences and keep in mind that some work environments might increase risk for substance use.

Frist Calls Healthcare System 'Messy' but He's Optimistic — Dec 6, 2012

During a panel discussion at RAND's Politics Aside event, Bill Frist, a medical doctor and former Senate majority leader, says the healthcare industry faces serious obstacles but he believes it ultimately will find its way.

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