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.

  • Mother and son at a medical reception desk, photo by Nicole Young/iStock


    Eliminating Subsidies for People to Buy Health Coverage Would Increase Premiums and Number of Uninsured

    Oct 21, 2014

    Eliminating subsidies that help low- and moderate-income people purchase coverage through government-run health insurance marketplaces would boost costs for consumers as much as 43 percent and cause more than 11 million Americans to lose their health insurance.

  • 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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