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.
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.
Commentary
Ensuring the availability of needed mental health resources was critical in the immediate aftermath and recovery phase of the 2011 Joplin, Missouri tornado. Authorities in Oklahoma must ensure that such services are in place early so that Moore's residents can begin the long journey to recovery.
Journal Article
Reviews the scientific evidence on efficacy, safety, and comparative effectiveness of various types of bariatric surgery for treating adult patients with a body mass index (BMI) of 30.0 to 34.9 kg/m² and diabetes or impaired glucose tolerance (IGT).
Journal Article
Compares the weight loss and glucose control outcomes of bariatric surgery with nonsurgical therapy in the two RCTs that directly compared these in patients with diabetes for only those patients with a body mass index (BMI) of 30.0 to 34.9 kg/m2.
Report
Workplace wellness programs are becoming quite common, and employers are optimistic about their benefits. However, such programs must be well-executed to have a meaningful effect on employee health, and significant reductions in health care cost may take time to materialize.
Journal Article
A new federal law allowing young adults to remain on their parents' medical insurance through age 25 has shielded them, their families, and hospitals from the full financial consequences of serious medical emergencies.
News Release
A new federal law allowing young adults to remain on their parents' medical insurance through age 25 has shielded them, their families, and hospitals from the full financial consequences of serious medical emergencies.
Blog
The toll of the tornado on school students in Moore, Oklahoma, cannot be overstated. To assist with recovery, RAND's CBITS program offers resources on psychological first aid for schools, as well as additional materials for educators and parents.
Report
Describes the functionality of the Army Medical Department's Professional Filler System (PROFIS) in the current operating environment of ongoing deployments and assesses potential modifications and improvements to the system.
Commentary
A combination of things might well slow the obesity epidemic while also improving the American people's overall nutritional well-being: lowering prices on healthier food, initiatives to control portion sizes, and a long-term campaign to support better food quality.
Commentary
While our research has taught us many things about suicide prevention we think additional research is critically needed in two areas, writes Rajeev Ramchand. The first is gun control. The second area is the quality of behavioral health care available to those who need it.
Commentary
There are proposals to have England's National Health Service offer non-emergency service on weekends. Since there is a strong association between the health and well-being of staff and the quality of patient care, 24/7 working could have unintended consequences for patients.
Periodical
Dementia costs Americans hundreds of billions of dollars per year, and the annual cost could top half a trillion by 2040 due to the “graying” of the U.S. population. This infographic shows the soaring economic costs and caseload of dementia.
Report
Examines the effectiveness of subsidies in modifying dietary and grocery shopping behavior by evaluating a nationwide price rebate program for healthy food purchases in South Africa.
Commentary
It is likely that communities with low rates of non-urgent ED use not only have better access to primary care, but patients who are educated about appropriate care seeking and convenient alternatives for acute care, writes Lori Uscher-Pines.
Commentary
Driving Mexican marijuana out of the U.S. would probably reduce the traffickers' export revenue by a few billion dollars a year, writes Beau Kilmer. But would reducing that revenue lead to a corresponding decrease in trafficker violence?
Report
Identifies gaps in research, policy, and practice involving patient privacy, consent, and identity management that need to be addressed to improve the quality and efficiency of care in the Military Health System through health information exchange.
Commentary
Three mass-casualty events occurring in three very different settings show that disaster preparedness should not be limited to large cities or “target” areas in the United States. One trait that is common to all such events is the need for coordinated, responsive trauma care for victims.
Commentary
Contaminated drinking water contributes to the deaths of some 750,000 children under the age of five every year due to diarrheal disease. A RAND project is using mobile phones to increase the sales and use of safe-water filters in Kenya.
Report
Emergency departments account for a rising proportion of hospital admissions and serve increasingly as an advanced diagnostic center for primary care physicians. While often targeted as the most expensive place to get medical care, emergency rooms remain an important safety net for Americans who cannot get care elsewhere.
News Release
Hospital emergency departments play a growing role in the U.S. health care system, accounting for a rising proportion of hospital admissions and serving increasingly as an advanced diagnostic center for primary care physicians.