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)

A Fidelity Coding Guide for a Group Cognitive Behavioral Therapy for Depression — Aug 24, 2011

Description of fidelity rating tools for the Building Recovery by Improving Goals, Habits, and Thoughts (BRIGHT) and BRIGHT-2 interventions for depression and substance abuse, interrater reliability of measures, and a training plan for coders.

Medical Care Provided Under California's Workers' Compensation Program: Effects of the Reforms and Additional Opportunities to Improve the Quality and Efficiency of Care — Aug 22, 2011

This book examines changes to California's workers' compensation affecting medical care provided to injured workers and identifies areas in which more changes could improve quality and efficiency of care.

RAND/UCLA Quality-of-Care Measures for Carpal Tunnel Syndrome: Tools for Assessing Quality of Care and Appropriateness of Surgery — Aug 16, 2011

Offers two rigorously developed tools for assessing the quality of care received by patients with carpal tunnel syndrome and for determining whether surgery is necessary for individual patients.

Effects of Deployment on U.S. Service Members and Their Families — Jul 27, 2011

Testimony presented before the Senate Veterans' Affairs Committee provides an overview of RAND's extensive research on how deployment affects service members and their families. Issues addressed include combat-related stress, psychological injuries, willingness to reenlist, and the impact of parental deployment on children.

RAND Book Provides Critical Review of U.S. Actions Since 9/11; Recommends Future Anti-Terror Path — Jul 26, 2011

A new collection of essays by experts from the RAND Corporation examines America in the decade since the 9/11 terrorist attacks, focusing a critical eye on the nation's actions since the attacks and outlining changes in strategy needed to improve efforts against jihadist groups.

How Should Drugs Be Identified in Electronic Prescribing Systems? — Jul 20, 2011

The set of computer-interpretable identifiers currently used in electronic prescribing does not support the specific needs of prescribers and pharmacists. RxNorm, a rigorously derived system of drug identifiers that more accurately reflect the prescriber's intent, has potential to improve e-prescribing transactions.

Building Recovery by Improving Goals, Habits, and Thoughts (BRIGHT) — Jul 14, 2011

BRIGHT is a group cognitive behavioral therapy program for individuals with depression and co-occurring alcohol or drug use problems. It can be delivered by non-mental health practitioners, thus providing treatment to those who often do not receive it.

Building Recovery by Improving Goals, Habits, and Thoughts (BRIGHT): A Group Cognitive Behavioral Therapy for Depression in Clients with Co-Occurring Alcohol and Drug Use Problems — Group Member's Workbook — Jul 13, 2011

This is the group member's workbook for BRIGHT, a manualized group cognitive behavioral therapy program for depression in individuals with co-occurring alcohol and drug use problems.

Building Recovery by Improving Goals, Habits, and Thoughts (BRIGHT-2): An Integrated Group Cognitive Behavioral Therapy for Co-Occurring Depression and Alcohol and Drug Use Problems — Group Leader's Manual — Jul 13, 2011

This is the group leader's manual for BRIGHT-2, a manualized group cognitive behavioral therapy program for co-occurring depression and alcohol and drug use problems.

Building Recovery by Improving Goals, Habits, and Thoughts (BRIGHT-2): An Integrated Group Cognitive Behavioral Therapy for Co-Occurring Depression and Alcohol and Drug Use Problems — Group Member's Workbook — Jul 13, 2011

This is the group member's workbook for BRIGHT-2, a manualized group cognitive behavioral therapy program for co-occurring depression and alcohol and drug use problems.

Promoting Psychological Resilience in the U.S. Military — Jun 29, 2011

Many programs are available to encourage and support psychological resilience among service members and families but little is known about their effectiveness. A focused literature review identifies evidence-informed factors for promoting psychological resilience and a basis for evaluating military resilience programs.

A Prize Worth Paying? Non-standard ways to support and reward excellence in health research and development in the UK NHS — Jun 28, 2011

This paper outlines the issues, and finds merit in developing non-standard incentives, such as prizes, to support excellence in health research in addition to 'standard' performance management and routine inspection.

Collecting on Low-Value Claims Would Provide Medicare with Little Revenue and Substantial Reporting Costs — Jun 21, 2011

Effective January 1, 2012, Medicare will require insurers and self-insured companies to report settlements, awards, and judgments over $5K that involve a Medicare beneficiary. Over three years the $5K threshold will be phased out and all claims will have to be reported—but the potential revenue recovered from low-value claims may not be worth the reporting costs.

Latin American Cocaine Trade Persists Despite Gains Made by U.S. Efforts — Jun 15, 2011

Efforts by the United States to combat Latin American cocaine smugglers have disrupted drug supplies and captured key cartel leaders, but they have not significantly reduced the region's overall narcotics trade.

Establishing a Research and Evaluation Capability for the Joint Medical Education and Training Campus — Jun 9, 2011

Using lessons learned from similar institutions, this monograph outlines the need for and scope of an office of institutional research to assist the joint medical education and training campus at Ft. Sam Houston in attaining its organizational goals.

Regulation of Dietary Supplements in the Military: Report of an Expert Panel — Jun 2, 2011

Considers regulation of dietary supplement use in the military and comparable civilian organizations, policies regulating purchase of dietary supplements, and issues to be considered in crafting military policies about supplement use and education.

Health Innovation Transfer from South to North — May 25, 2011

This report presents findings from a study of health innovations transferred from South to North. This briefing examines technologies developed for developing country settings, which may have an application in the UK National Health Service.

Employer Self-Insurance Decisions and the Implications of the Patient Protection and Affordable Care Act as Modified by the Health Care and Education Reconciliation Act of 2010 (ACA) — May 25, 2011

Implications of the Patient Protection and Affordable Care Act of 2010 (as Modified by the Health Care and Education Reconciliation Act) for small firms' decisions to offer self-insured health plans and consequences of self-insurance for enrollees.

How Is Deployment to Iraq and Afghanistan Affecting U.S. Service Members and Their Families? — May 17, 2011

Approximately two million individuals serving in America's all-volunteer force have been deployed to Iraq and Afghanistan over the past decade. An ongoing research program investigates the effects of deployment on those troops and their families.

Resource-Constrained Spatial Hot Spot Identification — May 11, 2011

Describes a methodology for identifying areas where problem events are more pronounced and directing resources toward those areas.

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