In June 2016, RAND hosted a two-day celebration to mark the 40th anniversary of the RAND Health Insurance Experiment (HIE), the largest, most comprehensive, evidence-based health policy study in U.S. history.
As Congress considers repealing and replacing the Affordable Care Act it will need to consider how federal budget scoring can affect the fate of legislation. Depending on the ultimate cost of a replacement, finding enough savings to offset costs while maintaining budget neutrality could make it difficult to pass a replacement.
Starting in 2019, the Medicare Access and CHIP Reauthorization Act will integrate and potentially simplify performance measurement by combining a number of measures and programs. Research on performance measurement provides a good deal of insight on how to avoid several pitfalls in MACRA's rollout.
A continuous coverage requirement aims to discourage individuals from waiting until they become sick to buy insurance. This works well in theory. But there is little evidence on how it might work in practice.
Uninsured individuals who knew more about health insurance and finance were more likely to gain coverage under the ACA. Policies and programs aiming to reduce the numbers of uninsured should consider the financial literacy and health insurance knowledge of the groups they are trying to reach.
The likelihood that mothers with private health insurance would start breastfeeding increased by 2.5 percentage points after the Affordable Care Act mandated the coverage of lactation support services.
The Affordable Care Act's expansion of coverage for people under age 26 led to a 1-percent reduction in uninsurance, equating to a 0.8-percent decrease in workers' compensation claim frequency, and a roughly 1-percent decrease in overall claim costs.
The Trump health care proposal would decrease the number of insured and increase consumer health spending among those with marketplace insurance relative to current law. The policies would also increase the federal deficit by varying amounts.
The Clinton health care proposal would increase the number of insured individuals and decrease consumers' health spending relative to current law. However, the policies with the largest coverage gains also increase the federal deficit the most.
Allowing insurance companies to limit the drugs they cover is necessary to give them leverage that can result in lower medication costs for all patients. Still, there are ways to make the process more transparent and manageable.
When California's 2009 budget crunch eliminated supplemental funding for HIV prevention, state and local programs redirected remaining funds from risk reduction education to testing, thus somewhat dampening reductions in testing.
Workers' compensation reforms (Senate Bill 863) have likely increased wage replacement rates for permanently disabled Californians by 21.4 percentage points since 2012. The bill is helping to offset the recession's lasting effects on earnings losses.
Following California's major reforms to the state workers' compensation system, RAND researchers assess trends in earnings loss and permanent partial disability benefits before the reforms, as well as how the reforms might affect injury compensation.
Four examples of engaging stakeholders in health care related research provide insight for current efforts and show that clear articulation on the purpose of engagement can affect how stakeholders are included and lead to better outcomes.