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.

  • American flag, stethoscope, and money, photo by B-DIZZY/Fotolia

    Research Brief

    How Would Alternative Subsidy Structures Affect Stability in the ACA Individual Market?

    Apr 6, 2015

    Subsidies in the ACA's health insurance exchanges help stabilize the insurance market by encouraging younger, healthier people to stay enrolled in the face of premium hikes. Critics of the current subsidies have proposed alternatives. What effects would these have?

  • Supreme Court pillars

    Research Brief

    What If King v. Burwell Had Turned Out Differently?

    Jun 25, 2015

    The Supreme Court has ruled that the Affordable Care Act's subsidies can continue in all states. According to RAND research cited in the court's majority opinion, a different outcome could've resulted in higher premiums and about 8 million uninsured Americans.

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