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Affordable Care Act

Affordable Care Act
commentary
All Health Policy Is Local: The Case of the Individual Mandate Penalty in New York
Christine Eibner @Chrissyeibner, Sarah A. Nowak, Preethi Rao
Oct 30, 2018
The Health Care Blog
As with many Affordable Care Act policies, how New York is dealing with the absence of the individual mandate penalty is a potent reminder that all health policy is local.
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Health Insurance Mandates
commentary
Understanding the Impact of the Elimination of the Individual Mandate Penalty
Christine Eibner @Chrissyeibner, Sarah A. Nowak
Aug 10, 2018
The Commonwealth Fund Blog
Starting in 2019, the Affordable Care Act's individual mandate penalty will be eliminated, effectively ending the law's requirement that most people have health insurance. While declines in coverage and increases in premiums are likely, the magnitudes of these effects are highly uncertain.
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Health Care Costs
commentary
Tax Reform Could Raise Car Insurance Rates
Paul Heaton
Feb 4, 2018
U.S. News & World Report
The new tax law eliminates the individual mandate. When this repeal takes effect in 2019, millions more Americans are expected to go without health insurance. Auto insurers will likely pick up the tab for some of that population's medical care. That could raise car insurance premiums.
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Health Care Reform
blog
Beyond the Headlines: RAND's Christine Eibner Discusses Health Care Reform
Oct 27, 2017
The issue of how to improve health care in the United States is complicated. At a RAND event, senior economist and Paul O'Neill Alcoa Chair in Policy Analysis Christine Eibner discussed modifications to the Affordable Care Act and the long-term outlook for health care reform.
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Health Care Access
commentary
Why ACA Enrollees Need Support After They Sign Up
Laurie T. Martin
Oct 11, 2017
The Hill
Providing support for Affordable Care Act enrollees to connect with care they are happy with can help minimize the risk that they will stop seeking routine health care.
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Health Care Reform
commentary
Do Americans Expect Too Much from Health Insurance?
Christine Eibner @Chrissyeibner, Katherine Grace Carman @KGCarman
Sep 23, 2017
U.S. News & World Report
Americans expect affordable coverage for pre-existing conditions, access to routine services, and protection from unpredictable and significant financial risk from accidents or illness. As a product designed primarily for risk protection, insurance may not be the most efficient or affordable approach to achieving all of these objectives.
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United States
blog
RAND's Summer Reading List for Congress
Aug 4, 2017
Hill staffers can make the most of the Congressional recess with this list of must-read research and commentary on the policy issues they will be addressing this fall.
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Employment Legislation
commentary
Parental Leave Would Cause a Boom in Breastfeeding
Kandice A. Kapinos @kandicekapinos, Lori Uscher-Pines
Apr 17, 2017
The Hill
Doctors recommend exclusive breastfeeding for the first six months of a baby's life. This provides health benefits to both mother and child and saves health care costs. Paid maternity leave can boost breastfeeding rates, but few U.S. firms offer it.
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Affordable Care Act
commentary
Repeal-and-Delay Would Make Budget Neutrality for ACA Replacement Difficult
Christine Eibner @Chrissyeibner
Jan 11, 2017
The Commonwealth Fund Blog
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 hard to pass a replacement.
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Health Insurance Mandates
commentary
Can a Continuous Coverage Requirement Produce a Healthy Insurance Market?
Erin L. Duffy, Michael Dworsky, Christopher Whaley
Jan 4, 2017
The Hill
A continuous coverage requirement is intended to discourage individuals from waiting until they become sick to purchase insurance. Such a requirement works well in theory to maintain a healthy marketplace, but there is little evidence on how well it might work in practice.
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Health Insurance Cost Sharing
commentary
Insuring Younger Adults Through the ACA's Marketplaces: Options to Expand Enrollment
Evan Saltzman, Christine Eibner @Chrissyeibner
Dec 16, 2016
The Commonwealth Fund Blog
Whether or not the Affordable Care Act is repealed, having young adults participate in the individual health insurance market remains critical to achieving affordable premiums for everyone.
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United States
essay
Election 2016: The Domestic Issues
Oct 3, 2016
RAND offers a unique take on the big domestic issues facing America: research that is independent, reliable, and rigorously nonpartisan.
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Health Insurance Cost Sharing
q&a
Estimating the Impacts of the Trump and Clinton Health Plans
Sep 23, 2016
Donald Trump wants to repeal and replace the Affordable Care Act. Hillary Clinton wants to maintain and modify it. How could each proposal impact coverage, out-of-pocket costs, and the deficit?
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Health Insurance Cost Sharing
commentary
At 40, a Pioneering Health Care Experiment Remains Relevant
Michael D. Rich @michaeldrich
Apr 18, 2016
The RAND Blog
The impact of RAND's Health Insurance Experiment has been wide-reaching. The study's conclusions encouraged the restructuring of private insurance and helped increase the stature of managed care in the United States.
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Affordable Care Act
commentary
Modifying the ACA's Family Subsidy Rules to Help Ensure Affordability
Amado Cordova, Sarah A. Nowak, Evan Saltzman
Jan 12, 2016
The Commonwealth Fund Blog
The ACA encourages workers to retain employer coverage by restricting their eligibility for marketplace subsidies. Modifying the policy could help 700,000 people gain coverage and lower spending for 1.6 million who are insured but face high health care costs under current ACA policy.
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Health Insurance Cost Sharing
commentary
What Happens If the ACA's Tax Credits Are Replaced with Premium Support?
Evan Saltzman, Christine Eibner @Chrissyeibner
Nov 24, 2015
The Commonwealth Fund Blog
As policymakers consider alternatives to reduce the federal government's financial burden from providing subsidies under the ACA, they should consider the consequences for enrollees. Existing premium-support models yield considerable savings for the federal government but could create age and income disparities in coverage.
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