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.

Reports (1032)

RAND Arroyo Center Annual Report 2012 — May 17, 2013

Describes RAND Arroyo Center's research activities in FY12 and summarizes noteworthy studies performed throughout the year.

Building the Future: Summary of Four Studies to Develop the Private Sector, Education, Health Care, and Data for Decisionmaking for the Kurdistan Region — Iraq (with Arabic-language version) — May 8, 2013

This report summarizes four studies intended to help the Kurdistan Regional Government expand access to good education and health care, increase private-sector development, and design a data-collection system to support high-priority policies.

Building the Future: Summary of Four Studies to Develop the Private Sector, Education, Health Care, and Data for Decisionmaking for the Kurdistan Region — Iraq (with Kurdish-language version) — May 8, 2013

This report summarizes four studies intended to help the Kurdistan Regional Government expand access to good education and health care, increase private-sector development, and design a data-collection system to support high-priority policies.

Evaluation of the Council to Improve Foodborne Outbreak Response (CIFOR) Guidelines for Foodborne Disease Outbreak Response and Associated Toolkit — May 7, 2013

Assesses to what extent the Council to Improve Foodborne Outbreak Response's Guidelines and associated Toolkit are reaching their intended users and achieving their intended goals.

Analysis of research and education indicators to support designation of Academic Health Science Centres in England — May 2, 2013

To support the English Department of Health's Academic Health Science Centres competition in 2013, RAND Europe has analysed various types of publicly available data and quality assessments in the domains of medical research and health education.

Providing for the Casualties of War: The American Experience Through World War II — Apr 29, 2013

This history looks at how humanity has cared for its war casualties and veterans, from ancient times through the aftermath of World War II.

Oral Health in the District of Columbia: Parental and Provider Perspectives — Apr 26, 2013

Assesses the perspectives of Washington, D.C., stakeholders, including parents and providers, about the oral health of children.

The Monetary Costs of Dementia in the United States — Apr 24, 2013

an elderly woman with a caretaker

Identifying the costs of dementia is challenging because persons who have it are likely to have co-existing chronic health problems, making isolating the costs among other costs difficult. Also, it is unclear how to attribute a monetary cost to informal caregiving.

The Economic Impact of Medicaid Expansion on Pennsylvania — Mar 28, 2013

Pennsylvania state flag

If Pennsylvania opts into Medicaid expansion under the Affordable Care Act, more residents would have health coverage and the state would enjoy a positive economic effect. However, benefits would have a long-term cost, with uneven regional results.

A Two-Step Procedure to Estimate Participation and Premiums in Multistate Health Plans — Mar 20, 2013

The authors identified and characterized population groups that would likely be interested in enrolling in the multistate plans established by the Affordable Care Act and developed a methodology to project participation and estimate premiums.

Helping Families Raise Healthy Children — Mar 19, 2013

parent with happy child

Simultaneous developmental delays among young children and depression among parents can create serious challenges for many families. However, results from the Helping Families Raise Healthy Children initiative suggest that aligning early intervention and behavioral health systems can help.

Military Caregivers Aid Injured Warriors, but Little Is Known About Their Needs — Mar 7, 2013

Spouses, family members, and others who provide informal care to U.S. military members after they return home from conflict often toil long hours with little support, putting them at risk for physical, emotional, and financial harm.

Regulatory cultures and research governance — Mar 1, 2013

This is a comparative study of the practice of those who are subject to regulatory requirements in the health research, medical drugs, environmental and financial sectors conducted to assist understanding of health research governance in the UK.

Physical and Psychological Health Following Military Sexual Assault: Recommendations for Care, Research, and Policy — Feb 27, 2013

This paper reviews data on the prevalence of sexual assault among servicemembers, predictors of disclosure, efforts to improve disclosure, victim needs, and DoD efforts to provide necessary resources in the immediate aftermath of a sexual assault.

Addressing the Global Cataract Problem — Feb 21, 2013

Most of the millions of cataract cases worldwide can be cured by quick, inexpensive procedures. But a shortage of trained surgeons remains a challenge. The HelpMeSee approach, a high-volume training and development system, could help close this gap.

Economic Effects of Product Liability and Other Litigation Involving the Safety and Effectiveness of Pharmaceuticals — Feb 19, 2013

Opponents of product liability claim that liability reduces product availability, increases prices, and discourages innovation. Supporters claim that liability uncovers information about drug hazards and deters socially undesirable corporate behavior.

Focus on the U.S. Gulf States: Committed to the Region and the Well-Being of Its Residents — Feb 15, 2013

The RAND Gulf States Policy Institute was established after Hurricane Katrina to inform policies for long-term recovery and economic development in Louisiana, Mississippi, and Alabama. This two-page flyer highlights some of its research.

Efforts to Reform Physician Payment by Tying Payment to Performance — Feb 14, 2013

pediatrician with patient and mother

Public and private sector purchasers are actively working to design value-based payment programs to achieve the goals of improved quality and more efficient use of health care resources. How these programs are designed is a complex undertaking and one that will determine the likelihood of their success.

California Should Collect Physician Identifiers from Hospitals — Feb 7, 2013

California health regulators should begin collecting physician identifiers as part of their routine data collection efforts about the services provided at the state's hospitals. Such a move would help providers improve quality by aiding efforts to benchmark performance and reduce variations in the delivery of care.

Exploring the Association Between Military Base Neighborhood Characteristics and Soldiers' and Airmen's Outcomes — Jan 24, 2013

This report explores how neighborhood theory and social indicators research shed light on quality of life in and around military bases, gaps in the methodology, and how a more in-depth analysis of military installations could be conducted.

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