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)

Where in Social and Sexual Networks Should HIV Interventions Target? Identifying Similarities in Social Contexts Characteristics and Mutual Disclosure Behaviors of HIV Status and MSM Identity Across Social and Sexual Networks — Nov 3, 2011

Attempts to understand where similarities in social context characteristics and disclosure behaviors lie in respondents' various sexual and social networks leading to important implications for developing new and innovative HIV interventions.

The Challenge of Violent Drug-Trafficking Organizations — Oct 25, 2011

Violent drug-trafficking organizations in Mexico produce, transship, and deliver into the U.S. tens of billions of dollars worth of narcotics annually. A Delphi exercise offers an assessment of the security situation in Mexico through the lens of existing research on urban unrest, historical insurgencies, and defense-sector reform.

A Critical Review of Research on Gambling-Related Harm — Oct 20, 2011

gambling at blackjack table

Almost 1 percent of the British population has a gambling problem that can affect their families, communities, and themselves. The Responsible Gambling Fund commissioned RAND Europe to 'map the gap' between the available evidence base on gambling-related harm and information needed to inform policy.

Care Is Expensive for Mentally Ill Veterans, but Quality Is as Good or Better Than Other Health Systems — Oct 19, 2011

Treating U.S. veterans with mental illness and substance use disorders is more expensive than caring for those with other medical conditions but the quality of mental health care offered by the U.S. Department of Veterans Affairs is as good as or better than that reported by privately insured, Medicare, or Medicaid populations.

Mapping the Gaps: Ideas for Using GIS to Enhance Local Health Department Priority Setting and Program Planning — Oct 19, 2011

Using geographic information system (GIS) technology to enhance provision of services by local health departments by enabling them to visually compare where health services are needed with where they are provided.

Living Longer in Mexico: Income Security and Health — Oct 18, 2011

Mexican citizens are living longer and overall have experienced an improvement in the quality of life compared to that of prior generations. However, the demographic transition in Mexico, combined with the lack of formal sources of income in retirement, places many older persons in a state of financial insecurity.

Living Longer in Mexico: Income Security and Health: Executive Summary — Oct 18, 2011

Describes the income security, health status, and health care coverage of older persons in Mexico and presents policy recommendations that may lead to increased old-age income security and health in Mexico.

Living Longer in Mexico: Income Security and Health (Spanish-language version) — Oct 18, 2011

Describes the income security, health status, and health care coverage of older persons in Mexico and presents policy recommendations that may lead to increased old-age income security and health in Mexico (Spanish-language version).

Living Longer in Mexico: Income Security and Health: Executive Summary (Spanish-language version) — Oct 18, 2011

Describes the income security, health status, and health care coverage of older persons in Mexico and presents policy recommendations that may lead to increased old-age income security and health in Mexico (Spanish-language version).

Addressing Medicare Payment Differentials Across Ambulatory Settings — Oct 12, 2011

bill payment calculator

Medicare's payment for physician work and malpractice liability expenses is the same regardless of where a service is provided, but payments differ for facility-related components of care.

The Effect of the Assessment of Recruit Motivation and Strength (ARMS) Program on Army Accessions and Attrition — Oct 12, 2011

To counter the decline in the fraction of youth meeting weight and body fat enlistment standards, the U.S. Army developed a waiver program tied to a new physical fitness test, ARMS. The authors examine the program's effect on accession and attrition.

Focus on the Rising Cost of Health Care — Oct 5, 2011

A substantial body of RAND research has focused on evaluating policies to lower health care costs; promoting health and preventing disease; and improving health system value and quality of care.

Challenges to Value-Enhancing Innovation in Health Care Delivery: Commonalities and Contrasts with Innovation in Drugs and Devices — Oct 4, 2011

Discusses obstacles to steering innovation in health care toward activities that are worth their social costs and away from other innovative activities and considers drugs, devices, and delivery, with particular attention to delivery.

Assessing the Performance of Military Treatment Facilities — Sep 21, 2011

Discusses the potential usefulness and limitations of using utilization and cost metrics to evaluate the performance of U.S. Department of Defense military treatment facilities.

Improving Access to Medicine in the Developing World — Sep 19, 2011

Non-communicable diseases (NCDs) such as cancer, diabetes, and cardiovascular disease are common and rising in the developing world, but access to treatment remains limited. An analysis of the obstacles to treatment finds realistic areas for improvement and ideas the pharmaceutical industry could focus on as it develops its NCD policy research program.

African First Ladies Brochure — Sep 19, 2011

Brochure for a week-long, intensive course designed for staff and advisors of African First Ladies to develop strategies to manage an effective First Lady's Office and to improve executive decisionmaking through a policy-analysis framework.

Power to the People: The Role of Consumer-Controlled Personal Health Management Systems in the Evolution of Employer-Based Health Care Benefits — Sep 13, 2011

The Patient Protection and Affordable Care Act has piqued employers' interest in new benefit designs. This paper reviews consumer-controlled personal health management systems that could help individuals control and manage their health care.

How Do Quality Improvement Interventions Succeed? Archetypes of Success and Failure — Aug 29, 2011

The goal of this analysis was to ascertain the predominant themes and patterns likely to be associated with producing successful health care quality improvement interventions (QIIs).

Getting to Outcomes with Developmental Assets: Ten Steps to Measuring Success in Youth Programs and Communities — Aug 25, 2011

Offers a straightforward and adaptable plan for building effective community initiatives and youth programs, including 10-step process that poses different accountability questions to help document outcomes for funders.

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