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; Center for Military Health Policy Research; RAND Europe; RAND Drug Policy Research Center; RAND Law, Business, and Regulation; RAND Labor and Population; RAND Gulf States Policy Institute

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How Will Eliminating the Individual Mandate Affect Health Coverage and Premium Costs?

The individual mandate of the Patient Protection and Affordable Care Act of 2010 (ACA) requires that most Americans either obtain health coverage or pay an annual fine. How much will overturning the individual mandate affect costs and coverage?

Reports (927)

A Prototype Knowledge-Sharing Service for Clinical Decision Support Artifacts — May 17, 2012

This report, by researchers from Partners HealthCare and the RAND Corporation, primarily describes the work associated with Task 4.8 of the Advancing Clinical Decision Support effort, a project intended to accelerate the effective use of computer-based clinical decision support (CDS) interventions to facilitate evidence-based clinical practice. Twenty-two CDS artifacts and 16 value sets were developed that cover the five CDS intervention…

Postmenopausal osteoporosis management: A review of the evidence to inform the development of quality indicators — May 9, 2012

The report work aims to inform the development of quality indicators for postmenopausal osteoporosis management in Europe.

Allowances for Spinal Hardware under California’s Official Medical Fee Schedule: Issues and Options — May 9, 2012

Testimony presented before the California State Senate Labor and Industrial Relations Committee on May 9, 2012.

What is the Impact of Health Care Reform on Workers' Compensation Medical Care? — Apr 23, 2012

When enacting, implementing, and evaluating health care reform, policymakers should consider potential spillover effects on workers' compensation insurance. The experience of Massachusetts's heath care reform suggests that reform may reduce medical costs.

Assessment of the Content, Design, and Dissemination of the Real Warriors Campaign — Apr 16, 2012

The Real Warriors Campaign, launched in 2009, is a multimedia program designed to promote resilience, facilitate recovery, and support the reintegration of returning servicemembers, veterans, and their families. This report presents the results of an independent assessment of the campaign.

Old-Age Disability in China: Implications for Long-Term Care Policies in the Coming Decades — Apr 12, 2012

Addresses long-term care issues facing the elderly in China.

Planning for an Aging Nation: New Estimates to Inform Policy Analysis for Senior Health — Apr 12, 2012

Provides insights into the costs and challenges of providing health care to the elderly population.

DISMEVAL Developing and validating disease management evaluation methods for European healthcare systems: Final report — Apr 4, 2012

The report presents the overall findings of work carried out within the DISMEVAL project. It reviews approaches to chronic care in Europe and reports on methods and metrics for the evaluation of disease management interventions in six countries.

Evaluating chronic disease management: Recommendations for funders and users — Apr 4, 2012

This report outlines choices, options and trade-offs to policymakers, programme operators and researchers interested in the evaluation of chronic disease management. It is based on analyses undertaken within the DISMEVAL project.

Focus on Health Information Technology — Mar 30, 2012

For nearly a decade, RAND researchers have studied how health information technology (HIT) stands to change health care.

National Evaluation of the DH Integrated Care Pilots — Mar 22, 2012

This report is the result of an evaluation of the 16 DH integrated care pilots (ICPs).

National Evaluation of the DH Integrated Care Pilots: Appendices — Mar 22, 2012

This report contains appendices to the result of an evaluation of the 16 DH integrated care pilots (ICPs).

National Evaluation of the DH Integrated Care Pilots: Summary — Mar 22, 2012

This report is a summary of the result of an evaluation of the 16 DH integrated care pilots (ICPs).

A Matrix of New Media Use Measures and Brief Media Survey — Mar 19, 2012

There is a lack of data that address new media use and its potential relationship with adolescent sexual risk behavior and sexual health. The authors developed this matrix of measures to summarize the state of measurement in this arena and set the stage for further research. The measures were extracted from studies of media use, media effects, and interventions that employ new media to improve sexual health. Several new items are also…

Compensation for Combat Deaths: Policy Considerations — Mar 15, 2012

This briefing identifies policy questions related to compensating service members and their survivors for fatality risk. After comparing patterns in the characteristics of combat fatalities with those of fatalities occurring in other contexts, it discusses the Department of Defense's current compensation programs. Policymakers may benefit from both empirical studies and comparisons with compensation programs that exist in other contexts.

The National Institute for Health Research Leadership Programme: An evaluation of programme progress and delivery — Mar 8, 2012

RAND Europe evaluated the National Institute for Health Research Leadership Programme to help the English Department of Health consider the extent to which the programme has helped to foster wider research aims and extract lessons for the future.

Ending Individual Mandate Would Cut Health Coverage, but Not Dramatically Hike Insurance Price — Feb 16, 2012

Eliminating a key part of health care reform that requires all Americans to have health insurance would sharply lower the number of people gaining coverage, but would not dramatically increase the cost of buying policies through new insurance exchanges.

Sustainable Development in the National Health Service (NHS): The views and values of NHS leaders — Jan 31, 2012

A first systematic picture of United Kingdom National Health Service (NHS) leaders' views of priorities and approaches regarding sustainable development (SD). Survey and interview responses are drawn on to show the importance of SD and ways forward.

Preventing emergency readmissions to hospital: A scoping review — Jan 25, 2012

The study reports on the evidence and potential for use of 'emergency readmissions within 28 days of discharge from hospital' as an indicator within the NHS Outcomes Framework, drawing on a rapid review of systematic reviews.

Research Gaps and Measurement Challenges for Studying the Influence of New Media on Adolescent Sexual Health — Jan 24, 2012

An expert panel was convened to develop a working knowledge base about the use of new media (such as the Internet, social networking sites, cell phones, online video games, and MP3 players) among adolescents and the potential impact on their sexual health and also to identify appropriate measures for assessing this use, thus setting the stage for future research and intervention.

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