HR 3200


Through a number of provisions — such as individual and employer mandates, health insurance exchanges, and the expansion of Medicaid — the Patient Protection and Affordable Care Act (ACA) aims to expand access to health care for uninsured Americans. RAND has examined implementation challenges, cost and coverage implications, Medicaid expansion, state health insurance exchanges, and reforms to both care delivery and payment.

  • A man looks over the ACA signup page on, October 2, 2013, photo by Mike Segar/Reuters


    Happy Birthday, Healthcare.Gov

    Oct 16, 2014

    This month marks the one-year anniversary of the health insurance Marketplaces—the online exchanges for buying and selling insurance created by the Affordable Care Act. Last year, after a near-disastrous start that included massive website failures, the Marketplaces rebounded to a surprising success.

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    Research Brief

    How Do ACA Tax Subsidies Affect Premiums and Enrollment?

    Jan 16, 2015

    An estimated 85 percent of people who enrolled in the Affordable Care Act's exchanges in 2014 received tax credits. Now, the Supreme Court will determine the legality of these subsidies in 34 states. Eliminating them will result in a substantial disruption to the market.

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