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.

Research Briefs (325)

Better understanding efforts to reduce the supply of illicit drugs — Mar 23, 2010

To better understand illegal drug markets and supply-reduction efforts in the European Union, data on purity-adjusted prices must be collected. Member states can learn more about supply reduction by changing how they report seizure data.

Are Adolescents Talking with Their Parents About Sex Before Becoming Sexually Active? — Mar 11, 2010

Examines parent-child discussions of sexual behavior. Finds consistency in the timing and content of such discussions; however, many parents and children do not discuss key topics, such as birth control, before adolescents become sexually active.

Post-Katrina Project Demonstrates a Rapid, Participatory Assessment of Health Care and Develops a Partnership for Post-Disaster Recovery in New Orleans — Mar 10, 2010

Stakeholders in communities in which health care access was disrupted by Hurricane Katrina were engaged in an assessment of health priorities, as well as in data interpretation and plan design, to produce a sustainable community-academic partnership.

The Potential Impact of President Obama's Health Reform Proposal — Feb 24, 2010

An independent evaluation of the health reform proposal made this week by President Obama shows that the plan would reduce the number of uninsured Americans by 30 million by 2019—very similar to the results expected under separate legislation passed by the House and Senate.

Projected Impact of Senate Health Reform Bill; Estimates of Alternative Designs — Feb 16, 2010

As federal lawmakers prepare for a summit on health care, a new analysis shows that health reform legislation passed by the U.S. Senate would cut the number of uninsured Americans by about half and cost the federal government about $899 billion by 2019.

Cost and Health Consequences of Air Pollution in California — Feb 15, 2010

Examines how California's failure to meet federal air quality standards has affected hospitalizations and insurers' costs.

Coverage, Spending, and Consumer Financial Risk: How Do the Recent House and Senate Health Care Bills Compare? — Feb 12, 2010

Compares how two health care reform bills, HR. 3962 and H.R. 3590, passed by the U.S. House and Senate, respectively, in late 2009 compare on a variety of projections made using the RAND COMPARE microsimulation model.

Studies' Estimates of PTSD Prevalence Rates for Returning Service Members Vary Widely — Feb 11, 2010

Summarizes analyses of existing posttraumatic stress disorder (PTSD) studies for war zone veterans, finding that the prevalence estimates vary widely and are linked to the use of different PTSD diagnostic definitions and divergent study samples.

What Happened to No-Fault Automobile Insurance? — Feb 1, 2010

This brief reviews the decline in popularity of no-fault automobile insurance. The main reason for this decline is rising costs: no-fault offers more medical services to accident victims and pays more for the same care than tort insurance.

The Teen Depression Awareness Project: Building an Evidence Base for Improving Teen Depression Care — Jan 15, 2010

Presents findings from the Teen Depression Awareness Project, which explored how depression affects teens, the factors that influence teens' readiness to seek treatment for depression, and the barriers that teens and parents face when seeking care.

How Fare the Displaced and Returned Residents of New Orleans? Results of an Innovative Pilot Survey — Jan 15, 2010

The Displaced New Orleans Residents Pilot Study shows that it is possible to study this hard-to-survey population to determine rates of return and mental illness among residents who experienced Hurricane Katrina and its aftermath.

Analysis of the Affordable Health Care for America Act (H.R. 3962) — Jan 7, 2010

Using the COMPARE microsimulation model, estimates proposed health care reform legislation's effects on the number of uninsured, the costs to the federal government and the nation, revenues from penalty payments, and consumers' health care spending.

South Los Angeles Ban on Fast-Food Chains Misses the Mark — Nov 2, 2009

Summarizes the evidence for the ban on new fast-food chain restaurants in South Los Angeles (LA), including the density of such restaurants in the area and the eating habits of South LA residents, and concludes that the data do not support the ban.

Children's Health in Washington, D.C.: Access and Health Challenges Despite High Insurance Coverage Rates — Oct 28, 2009

Assesses children's health issues in Washington, D.C., including the health care delivery system and neighborhood health environments.

Electronic Health Records are Associated with Higher Quality in Primary Care Practices — Oct 27, 2009

Demonstrating a link between use of electronic health records in community-based primary care practices and higher-quality care, this study encourages prioritization of such technologies and their advanced functionalities.

Prescription Drug Cost Sharing: A Powerful Policy Lever to Use with Care — Oct 21, 2009

Describes the effects that prescription drug cost sharing has on drug spending, compliance with drug therapy, patient health, and overall health care costs.

Does Watching Sex on Television Influence Teens’ Sexual Activity? — Oct 20, 2009

Two recent studies led by RAND Health behavioral scientist Rebecca Collins examined the impact of TV sex on teenagers’ sexual beliefs and activities.

Ending Social Promotion in New York City Public Schools Without Leaving Children Behind — Oct 9, 2009

RAND researchers conducted a three-year study of New York City's promotion policy, using interviews, case studies, student surveys, and demographic and test score data to determine its effects on the outcomes of 5th-grade students held to the policy.

Rural Hospitals Struggle to Attract Patients and Remain Viable — Oct 9, 2009

Describes the characteristics of rural hospitals and those who use them and discusses the challenges these hospitals face.

Hold the Salt: Lowering Sodium Intake Would Improve Health and Save Money — Oct 9, 2009

Details the benefits that would accrue from reducing sodium consumption among Americans, including a reduced prevalence of high blood pressure, lower medical costs, and improved quality of life.

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