Health Legislation

  • Journal Article

    Possible Legal Barriers for PCP Access to Mental Health Treatment Records

    Over one-third of states appear to have more stringent medical privacy laws than HIPAA (federal), which could hinder primary care and mental health providers' efforts to share information and integrate care.

    Jul 19, 2017

  • Medical costs

    Report

    The Benefits and Drawbacks of Alternative Tax Subsidization Approaches for Health Insurance

    This report reviews the features of tax-based approaches to subsidizing health insurance, including tax credits and tax deductions, and summarizes their associated benefits and drawbacks.

    Jul 13, 2017

  • Woman paying at a medical reception desk

    Commentary

    Ingredients for Health Care Reform

    Despite their differences, the Affordable Care Act and the current proposals to replace it take a similar approach to providing health insurance. What might some alternatives look like? And how could they provide coverage to more Americans?

    Jul 10, 2017

  • Pen and stethoscope on health insurance papers

    Content

    Alternatives to the Affordable Care Act

    As alternatives to the Patient Protection and Affordable Care Act (ACA) continue to be proposed, RAND researchers assess the effects of modifying the ACA or replacing it with another plan.

    Jun 15, 2017

  • Prescription pad, stethoscope, and gavel on top of the American flag

    Content

    U.S. Health Care Policy

    The U.S. health care policy landscape is poised for great change. Extensive RAND research offers insights about the likely impact of repealing or revising the ACA along key dimensions, including Medicaid, the individual mandate, effects on employers, tax subsidies, changing rating regulations, and essential health benefits.

    Jun 9, 2017

  • Doctor consulting with staff member

    Journal Article

    What Is Single-Payer Health Care?

    Policy discussions of single-payer health system proposals need to account for the substantial variation in how they would change the financing, pooling, purchasing and delivery of health care.

    Jun 1, 2017

  • Journal Article

    Medical Marijuana and Marijuana Legalization

    State actions to relax marijuana policies vary substantially, making it difficult to compare policies and draw conclusions about user and market reactions.

    May 31, 2017

  • A nurse discussing paperwork with her senior patient

    Commentary

    How Would the House Health Care Plan Affect People with Pre-Existing Conditions?

    The American Health Care Act would guarantee that individuals with pre-existing conditions could enroll in insurance even if they had a coverage lapse. But there is no guarantee that this coverage would be affordable, and coverage of some essential health benefits could be excluded.

    May 28, 2017

  • New mother resting in maternity room after childbirth

    Commentary

    Effects of Removing Maternity Care and Mental Health Treatment from Coverage Requirements

    The American Health Care Act passed by the U.S. House of Representatives to repeal and replace the Affordable Care Act allows states to waive benefits that the ACA deemed “essential.” Dropping maternity care coverage, for example, would reduce premiums by 5 percent but increase out-of-pocket spending for new mothers.

    May 18, 2017

  • Report

    Financing Health Care in Oregon: Four Policy Options

    This presentation describes four options for financing health care for residents of the state of Oregon and compares the projected impacts and feasibility of each option.

    May 17, 2017

  • RAND senior economist Christine Eibner speaks at a symposium about health care reform on Capitol Hill, November 18, 2016

    Announcement

    Health Care Economist Christine Eibner Appointed to Endowed Chair at RAND Corporation

    Christine Eibner, a senior economist who has led influential work on how to improve the nation's health care system, has been appointed to the RAND Corporation's Paul O'Neill Alcoa Chair in Policy Analysis.

    May 4, 2017

  • House Majority Leader Kevin McCarthy (left), House Speaker Paul Ryan (center), and Congressman Greg Walden hold a news conference on the American Health Care Act in Washington, March 7, 2017

    Report

    The Effects of the American Health Care Act

    The American Health Care Act would have reduced insurance enrollment by an estimated 14.2 million people in 2020 and by 19.7 million people by 2026. The uninsured would have been older, sicker, and poorer than those currently uninsured. Also, the AHCA would have increased the deficit by $38 billion in 2020 while reducing it by $5 billion in 2026.

    May 3, 2017

  • Close up of a doctor looking at his phone

    Research Brief

    MACRA's Effects on Medicare Payment Policy and Spending

    Estimates how sensitive physician behavior is to the design of alternative payment models under the Medicare Access and CHIP Reauthorization Act (MACRA).

    May 3, 2017

  • Journal Article

    Variation in Dermatologist Visits by Sociodemographic Characteristics

    Medicaid enrollees are less likely than those with private insurance to see a dermatologist or receive care for a skin condition, suggesting that efforts need to be made to increase access to skin specialists.

    Apr 26, 2017

  • Journal Article

    The Clinical Pharmacy Specialist: Part of the Solution

    Efforts to create high-functioning primary care teams should take advantage of the knowledge and skills of clinical pharmacy specialists

    Apr 19, 2017

  • Mother breastfeeding at home

    Commentary

    Parental Leave Would Cause a Boom in Breastfeeding

    Doctors recommend exclusive breastfeeding for the first six months of a baby's life. This provides health benefits to both mother and child and saves health care costs. Paid maternity leave can boost breastfeeding rates, but few U.S. firms offer it.

    Apr 17, 2017

  • Multimedia

    Drama over Health Care Continues

    In this Call with the Experts, RAND senior economist Christine Eibner discusses the Affordable Care Act, what policymakers should consider, and changes that the current administration could make.

    Apr 11, 2017

  • Journal Article

    The Medicare Access and CHIP Reauthorization Act: Effects on Medicare

    The Medicare Access and Chip Reauthorization Act (MACRA) will decrease Medicare spending on physician services by an estimated -$35 to -$106 billion and change spending on hospital services by +$32 to -$250 billion between 2015 and 2030.

    Apr 5, 2017

  • Female doctor in her office consulting with a male patient

    Report

    Examining the Implementation of the Medicaid Primary Care Payment Increase

    RAND researchers examined stakeholder experiences with an Affordable Care Act provision that qualifying providers of primary care services participating in the Medicaid program would receive enhanced federal payments for providing certain services.

    Apr 4, 2017

  • Woman consulting with her doctor over video

    Journal Article

    Antibiotics Prescribed as Often During Telemedicine Appointments as In-Person Visits

    Patients treated for acute respiratory infections by a doctor on a telephone or live video are as likely to be prescribed an antibiotic as those treated in person. However, patients treated virtually are more often prescribed a broad-spectrum antibiotic, which is concerning because overuse of the drugs increases costs and contributes to antibiotic resistance.

    Mar 28, 2017

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