The debate within the U.S. government about reforming the health care system centers on ways to control rising costs and assure high-quality, affordable care. RAND Health and its health care reform initiative—RAND COMPARE (Comprehensive Assessment of Reform Efforts)—provide objective research and analysis on topics that can inform the health care reform debate, including financing; increasing access, insurance coverage, and quality; decreasing costs; and promoting wellness and prevention.
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.
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.
While a governor or legislator may disagree with Medicaid expansion for philosophical reasons, the claims that the expansion will be a burden on states' economies seem misguided given the full range of projected economic impacts on the states, writes Carter C. Price.
This infographic presents findings from a RAND analysis of the economic and other effects of the Affordable Care Act on the state of Arkansas.
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.
RAND's November 2012 Politics Aside weekend brought together leaders in government policy, business, and philanthropy to discuss challenges and solutions in an objective, nonpartisan environment.
For Arkansas, the Affordable Care Act will result in an increase in GDP of around $550 million and the creation of about 6,200 jobs. The new law will also increase health insurance coverage by 400,000 newly insured individuals.
Assessing care continuity is important in evaluating the impact of health care reform and changes to health care delivery.
Many physician practices will face a set of critical decisions in the coming years that may contribute to the ultimate success or failure of the ACA.
The Affordable Care Act focuses primarily on extending coverage to uninsured Americans, but it is also intended to help curb cost growth. M. Susan Ridgely explains one of the key tools for doing that—the “accountable care organization,” an alternative delivery model intended to lower costs while also improving quality of care.
RAND Health research supports four strategies to restrain health care spending growth and maintain quality: foster efficient and accountable providers, engage and empower consumers, promote population health, and facilitate high-value innovation.
Providers can dramatically improve American health care by focusing on “value” instead of “volume,” eliminating wasteful and inappropriate care, applying the best available evidence to their practices, and enhancing patient safety.
Regardless of which candidate wins in November, and regardless of whether “Obamacare” is repealed, amended, or defended by the next Congress, the next president will have to contend with the spiraling cost of health care in the United States—a problem that is growing more acute with each passing year, writes Arthur Kellermann.
An analysis of factors that impede the translation of comparative effectiveness research (CER) into clinical practice and those that facilitate it, based on case studies of five recent CER studies.
Innovative payment reform initiatives occur in both the public and private sector, but the optimal role of the public sector in such reforms is up for debate.
Despite high per-capita expenditures in the U.S., Americans under the age of 65 are less likely than their peers in France, Germany, or the United Kingdom to receive timely and appropriate health care, writes Ellen Nolte.
Whether the Affordable Care Act is repealed, defended, or weakened will hinge on who holds the balance of power next January. Regardless of what happens with the ACA, the spiraling cost of health care in the United States will remain a huge challenge.
Amenable mortality—deaths that should not occur in the presence of timely and effective health care—were higher in the U.S. compared to France, Germany, and the U.K. between 1999 and 2007. Deaths from circulatory conditions like cerebrovascular disease and hypertension are the main reason amenable death rates remained high in the U.S.
The bottom line is this: With or without the Affordable Care Act, the nation can no longer kick the can down the road on costs, writes Arthur Kellermann.