Patient Protection and Affordable Care Act


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.

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    Research Brief

    What Would Happen if the Government Stopped Offering ACA Tax Credits?

    Jan 16, 2015

    An estimated 85 percent of exchange enrollees received tax credits last year. Now, the U.S. Supreme Court will decide on the legality of these subsidies. Although the future is hazy, it is clear that eliminating ACA tax credits will have a substantial impact on enrollment and premiums.

  • 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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