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.
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.
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.
The current terrorism risk insurance act will expire in 2014 and Congress again is considering the appropriate government role in terrorism insurance markets.
After a decade of experimentation with reforms that give health providers financial incentives to improve performance, relatively little is known about how to best execute such strategies or judge their success.
A three-year pilot of a “medical home” model of primary care yielded few improvements in the quality of care and no reductions in hospitalizations, emergency department visits, or total costs of care.
Two key analytic tools can be used to evaluate how coastal protection and restoration decisions made now will play out over time, even given an uncertain future.
Infections that strike patients are one of the most preventable leading causes of death in the United States. A federally sponsored plan to lower health care-acquired infections was successful in addressing the challenges of prioritizing and coordinating strategies.
People who are younger, more affluent and do not have established health care relationships are more likely to use a telemedicine program that allows patients to get medical help — including prescriptions — by talking to a doctor over the telephone.
Experiencing World War II is associated with a greater chance of suffering from diabetes, depression, and heart disease as adults. And because so many men died during the war, fewer women married and many children were left to grow up without fathers.
Although three options put forward to help people keep their old health insurance plans all would cause some disruption of the risk pools that are important to the insurance exchanges, none of the changes would be severe enough to threaten their viability.
The benefits system and employment services in England are under pressure from an increasing number of clients with anxiety and depression. Piloting four interventions that address mental health and employment outcomes together would provide much-needed evidence on what works best.
Workplace wellness programs can lower health care costs in workers with chronic diseases, but components of the programs that encourage workers to adopt healthier lifestyles may not reduce health costs or lead to lower net savings.
In Washington state, marijuana consumption likely will range from 135 to 225 metric tons during 2013. Understanding the current market should help state policymakers with decisions about the number of marijuana sales licenses to issue, to project tax revenues, and provide a foundation for assessments of legalization.
Private contractors who worked in Iraq, Afghanistan or other conflict environments over the past two years report suffering from post-traumatic stress disorder and depression more often than military personnel who served in recent conflicts. Relatively few get help either before or after deployment.
College students documented their exposure to pro-smoking media messages during their normal routine over a three-week period. After exposure to just one, their smoking intentions immediately increased by an average of 22 percent. Smoking intentions decreased with each passing day but remained elevated for seven days.
The Professorship of Health Services Research, held by Professor Martin Roland CBE, has been retitled to the RAND Professorship of Health Services Research in recognition of the successful collaboration between the University of Cambridge and RAND Europe to develop a center of excellence and innovation in health services research.
Foreign-educated and foreign-born health professionals fill important gaps in the U.S. health care workforce, but strategic shifts such as changes in immigration laws may be needed to stabilize the nation's health workforce.
Much of the shortage of primary care physicians expected over the next decade could be eliminated if the nation increases use of new models of medical care that expand the role of nurse practitioners and physician assistants.
To make an impact on patient care within a 20-year timeframe, biomedical research funders and policymakers should focus resources on clinical rather than basic research, and support individuals who work across disciplinary boundaries and are motivated by patient need.
The RAND Corporation is launching a new research initiative to provide objective and nonpartisan analysis about the impact and future of the 340B program, a major federal program that gives safety net hospitals and other health care providers access to discounted outpatient medications.
Modest increases in marketing and outreach to local communities can increase the amount of physical activity that occurs in parks, providing a cost-effective way to potentially improve a community's health.
Being able to provide high-quality health care is a primary driver of job satisfaction among physicians, and obstacles to quality patient care are a source of stress for them. For example, the systems for electronic health records in use today are cumbersome to operate and contribute to their dissatisfaction.