Health Law

  • An elderly person's hands on a doctor's desk next to a stethoscope


    What Happens If the ACA's Tax Credits Are Replaced with Premium Support?

    As policymakers consider alternatives to reduce the federal government's financial burden from providing subsidies under the ACA, they should consider the consequences for enrollees. Existing premium-support models yield considerable savings for the federal government but could create age and income disparities in coverage.

    Nov 24, 2015

  • Patients waiting to see a doctor


    Insurance Enrollment Holds Steady in Advance of the 2016 Open Enrollment Period

    Since September 2013, the number of people with health insurance coverage has increased by 16.6 million. But since the second ACA open enrollment period in February 2015, the number of people with coverage has remained relatively flat. The third open enrollment period began on November 1. Whether the number of uninsured will continue to decline remains an open question.

    Nov 12, 2015

  • An IV and an epidural machine with a pregnant woman lying on a hospital bed


    A Tale of Two Deliveries, or an Out-of-Network Problem

    Two mothers gave birth within weeks of each other, at the same hospital, using the same employer-sponsored insurance. Both had an epidural. But one received a surprise physician bill for anesthesiology, while the other didn't have to pay a dime. Why?

    Nov 4, 2015

  • A senior man receives a consultation from his doctor


    Charging Older Adults Higher Premiums Could Cost Taxpayers

    Under the Affordable Care Act, older adults cannot be charged more than three times as much as 21- to 24-year-olds for the same plan. Changing this rule to 5-to-1 may not be a cost-effective way to encourage enrollment among the young and healthy.

    Sep 15, 2015

  • health-welcomes


    Prominent Health Care Economist and Higher Education Leader Deborah Freund Joins the RAND Corporation

    Deborah Freund has been appointed to RAND's Paul O'Neill Alcoa Professorship in Policy Analysis. She expects to work on a variety of health and higher education issues, including how some states are using unique approaches to expand or improve Medicaid under the federal ACA.

    Sep 10, 2015

  • Doctor writing out a prescription

    Journal Article

    Where Is Buprenorphine Dispensed to Treat Opioid Use Disorders?

    Use of buprenorphine, a drug to treat opioid addiction, is increasing faster than the number of doctors licensed to dispense it. Policies focused on increasing the number of patients a qualified physician could treat may be more effective in addressing this increased use than other alternatives.

    Sep 10, 2015

  • Calculator and stethoscope on a spreadsheet


    The Ramifications of Repealing the Individual Mandate

    As part of its goal of near-universal coverage, the Affordable Care Act requires most Americans to obtain insurance or pay a penalty. Repealing that requirement would significantly reduce health insurance enrollment and cause individual market premiums to rise.

    Aug 13, 2015

  • News Release

    More Work Needed to Engage Consumers After Enrolling in Health Insurance Plans

    Enrolling in an insurance plan under the ACA is only the first step for consumers to be actively engaged in their health care. Low health literacy continues to be a barrier and many consumers still struggle with the complexity of health insurance terminology.

    Jul 29, 2015

  • Supporters of the Affordable Care Act celebrate after the Supreme Court ruled in favor of the Obama administration, Washington, DC, June 25, 2015


    Why Obamacare Lives

    Economic reasoning took center stage in the Supreme Court's decision on Thursday to uphold the legality of the Affordable Care Act's subsidies in all states. The subsidies are critical to ensuring that healthy people, with lower health care costs, have adequate incentive to enroll.

    Jun 26, 2015

  • Demonstrators hold signs showing the number of people they say could lose affordable health care in King v. Burwell, in front of the Supreme Court building, March 4, 2015


    What Americans Know About King v. Burwell

    An upcoming Supreme Court ruling regarding the Affordable Care Act could impact millions of Americans. Are Americans aware of the court case? And if so, what do they know about it?

    Jun 12, 2015

  • News Release

    Health Coverage Grows Under Affordable Care Act

    Insurance coverage has increased across all types of insurance since the major provisions of the federal Affordable Care Act took effect, with a net total of 16.9 million people becoming newly enrolled through February 2015.

    May 6, 2015

  • News Release

    Online Training Can Teach Psychotherapists Evidence-Based Treatments

    Psychotherapy treatments can lag years behind what research has shown to be effective because there simply are not enough clinicians trained in new methods. But online training programs can be as successful as in-person instruction for teaching psychotherapists how to use newer evidence-based treatments.

    May 5, 2015

  • Barack Obama signing the Patient Protection and Affordable Care Act at the White House, March 23, 2010


    The Affordable Care Act in Depth

    In-depth exploration of the Affordable Care Act, with emphasis on related RAND Health research.

    Apr 8, 2015

  • U.S. President Barack Obama speaks alongside Americans he says will benefit from the Affordable Care Act's marketplaces, October 1, 2013


    Five Years of the Affordable Care Act

    The Affordable Care Act has officially been part of the U.S. health care landscape for five years. We reflect on the twists and turns that followed its passage and the RAND research that informed debates along the way, and look ahead to the future of the ACA.

    Mar 23, 2015

  • Class for Nigerian midwives


    Evaluation of the Nigerian Midwives Service Scheme

    The Better Obstetrics in Rural Nigeria (BORN) Study examines the effectiveness of the MSS. A nested qualitative study led by RAND Europe evaluated nine primary care clinics that appeared to be having differing success in terms of recruitment/retention of midwives and uptake of services.

    Mar 5, 2015

  • Doctor explaining diagnosis to her female patient


    Exchange Tax Credits or Employer Coverage: What's Better for Low-Income Americans?

    As the King v. Burwell case approaches, there's likely to be more discussion about potential modifications to the ACA's tax credit structure. Policymakers might consider whether there are opportunities to level the playing field for low-income workers, regardless of whether their employers offer insurance.

    Feb 12, 2015

  • A reporter reads a summary of the performance and usage of the Massachusetts ACA health insurance exchange, Boston, November 17, 2014


    Open Enrollment, Take 2: What Matters for the ACA Marketplace?

    As the Affordable Care Act's second open-enrollment period draws to its February 15 close, relatively few of the millions of Americans eligible to switch plans have revisited their options. What actions can be taken to ensure that people know they have the right to a new choice each year?

    Feb 11, 2015

  • congressional-podcast-teaser-highres


    Premium Tax Credits and the Affordable Care Act: The Potential Ramifications of King v. Burwell

    In this February 2015 Congressional Briefing, Christine Eibner discusses the role of premium tax credits in ensuring stability in the individual health insurance marketplace and the ramifications of King v. Burwell on the Affordable Care Act.

    Feb 3, 2015

  • A vendor smokes a cigarette as he waits for customers at a market in Hefei, China, January 9, 2015


    Snuffing Out China's Deadly Habit

    To help address China's smoking problem, China's parliament is considering a ban on all tobacco ads except those at point-of-sale retail locations. How does this compare to the current state of play regarding Chinese tobacco ads? And could the new law shift the tobacco-control landscape?

    Feb 2, 2015

  • News Release

    Who Pays for Health Care in Vermont Under the Current System

    If Vermont considers further health care reform proposals, legislators might look for opportunities to better align the degree of subsidization available for individuals with similar incomes, regardless of whether they are enrolled on the exchange or in employer coverage.

    Jan 14, 2015

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