Financing the efficient delivery of medical services while reducing costs for consumers as well as health care providers is among the most challenging domestic policy problems many countries face. RAND addresses health economics issues through innovative, high-profile research in an effort to improve the efficiency of health care organizations, reduce costs for providers and consumers, and improve financing in health care markets.
Compares how two health care reform bills, HR. 3962 and H.R. 3590, passed by the U.S. House and Senate, respectively, in late 2009 compare on a variety of projections made using the RAND COMPARE microsimulation model.
Using the COMPARE microsimulation model, estimates proposed health care reform legislation's effects on the number of uninsured, the costs to the federal government and the nation, revenues from penalty payments, and consumers' health care spending.
Describes the effects that prescription drug cost sharing has on drug spending, compliance with drug therapy, patient health, and overall health care costs.
Describes the characteristics of rural hospitals and those who use them and discusses the challenges these hospitals face.
Details the benefits that would accrue from reducing sodium consumption among Americans, including a reduced prevalence of high blood pressure, lower medical costs, and improved quality of life.
Ambulatory surgery centers (ASCs) have proliferated in the United States over the past 20 years. Their explosive growth concerns policymakers, especially in California, where ASC growth mirrors the national trend.
In 2006, Massachusetts passed landmark legislation ensuring near-universal health insurance coverage to its residents, but rising costs threaten the initiative; this policy brief assesses 21 options for controlling health care spending in the state.
Suggests that excess growth in health care costs has adverse economic effects and that these effects are more pronounced in industries that have a higher percentage of workers with employer-sponsored insurance.
Describes a study showing that increasing copayments for prescription drugs causes patients newly diagnosed with hypertension, high cholesterol, and diabetes to delay starting treatment, which in turn increases their risk for heart attack and stroke.
Discusses the effects of regulating drug prices in the United States in terms of the trade-off between benefiting the current generation (with lower prices) and benefiting future generations (with greater pharmaceutical innovation).
This fact sheet summarizes a study using the 1992-1999 Medicare Current Beneficiary Survey to investigate whether age directly affects health care costs, or whether life expectancy would produce more accurate estimates of future expenditures.
This fact sheet describes how patients' use of acupuncture affects use of conventional medical services and suggests that acupuncture often substitutes for other, more expensive services, thereby reducing total medical costs.
This research brief reports that, from 2000 to 2005, the economic burden of providing health insurance increased for employers, especially for the smallest firms, and that small firms offered plans of slightly lower quality than did large firms.
This research brief summarizes studies showing that medical innovations will improve health and extend life but will likely increase Medicare spending; eliminating obesity and better prevention could save Medicare money and improve health.
This research brief describes the effects of state health-insurance mandates and consumer-directed health plans (CDHPs) on the access to and affordability of health insurance for small businesses.
Children newly enrolled in a public health insurance program in California reported improvements such as doing better in school, feeling better physically, and getting along better with their peers.
This fact sheet summarizes a systematic review of published studies to analyze how the cost-sharing features of prescription drug benefits may affect access to prescription drugs and, consequently, health outcomes.
This research brief examines the likely effects of the gap in the Medicare Part D standard drug benefit after $2,400 in pharmaceutical spending, using data from a private employer.
This fact sheet describes a study that found that policies targeting physicians' medical malpractice payment histories as a way to deter medical malpractice are ineffective, mainly because paying physicians are not the negligent ones.
This research brief summarizes the results of a 2006 pilot survey of military retirees, providing information on retirees' enrollment in civilian health care plans and reliance on TRICARE, the Department of Defense-sponsored health insurance.