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Health Care Reform

Health Care Payment Approaches
commentary
Savings from a Single-Payer Health System Would Not Be Automatic
Jodi L. Liu
Sep 26, 2017
The Hill
Polls have shown increasing public support for a single-payer system in the United States. Yet there is no agreement on how to set up and pay for a single-payer system or even how much it would cost.
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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 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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Economic Burden Of Health Care
commentary
Extending Marketplace Tax Credits Would Make Coverage More Affordable for Middle-Income Adults
Jodi L. Liu, Christine Eibner @Chrissyeibner
Jul 27, 2017
The Commonwealth Fund Blog
Paying for health care coverage is a challenge for Americans facing rising premiums, deductibles, and copayments. The ACA's tax credits that make marketplace insurance more affordable for lower-income individuals should be extended to middle-income adults aged 50–64.
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Health Care Reform
commentary
Ingredients for Health Care Reform
Christine Eibner @Chrissyeibner
Jul 10, 2017
Fortune
Despite their differences, the Affordable Care Act and the current proposals to replace it take a similar approach to providing health insurance. What might some alternatives look like? And how could they provide coverage to more Americans?
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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 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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Affordable Care Act
commentary
Insurance Enrollment Holds Steady in Advance of the 2016 Open Enrollment Period
Katherine Grace Carman @KGCarman, Christine Eibner @Chrissyeibner
Nov 12, 2015
The RAND Blog
Since September 2013, the number of people with health insurance coverage has increased by 16.6 million. But since the second ACA open enrollment period in February 2015, the number of people with coverage has remained relatively flat. The third open enrollment period began on November 1. Whether the number of uninsured will continue to decline remains an open question.
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Affordable Care Act
commentary
Charging Older Adults Higher Premiums Could Cost Taxpayers
Christine Eibner @Chrissyeibner, Evan Saltzman
Sep 15, 2015
The Commonwealth Fund Blog
Under the Affordable Care Act, older adults cannot be charged more than three times as much as 21- to 24-year-olds for the same plan. Changing this rule to 5-to-1 may not be a cost-effective way to encourage enrollment among the young and healthy.
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Health Insurance Mandates
commentary
The Ramifications of Repealing the Individual Mandate
Evan Saltzman, Christine Eibner @Chrissyeibner
Aug 13, 2015
The Commonwealth Fund Blog
As part of its goal of near-universal coverage, the Affordable Care Act requires most Americans to obtain insurance or pay a penalty. Repealing that requirement would significantly reduce health insurance enrollment and cause individual market premiums to rise.
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Affordable Care Act
commentary
Why Obamacare Lives
Christine Eibner @Chrissyeibner
Jun 26, 2015
U.S. News & World Report
Economic reasoning took center stage in the Supreme Court's decision on Thursday to uphold the legality of the Affordable Care Act's subsidies in all states.
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Affordable Care Act
commentary
What Americans Know About King v. Burwell
Katherine Grace Carman @KGCarman, Christine Eibner @Chrissyeibner
Jun 12, 2015
The RAND Blog
An upcoming Supreme Court ruling regarding the Affordable Care Act could impact millions of Americans. Are Americans aware of the court case? And if so, what do they know about it?
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Affordable Care Act
blog
Five Years of the Affordable Care Act
Mar 23, 2015
The Affordable Care Act has officially been part of the U.S. health care landscape for five years. We reflect on the twists and turns that followed its passage and the RAND research that informed debates along the way, and look ahead to the future of the ACA.
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Health Care Reform

Savings from a Single-Payer Health System Would Not Be Automatic

Beyond the Headlines: RAND's Christine Eibner Discusses Health Care Reform

Do Americans Expect Too Much from Health Insurance?

RAND's Summer Reading List for Congress

Extending Marketplace Tax Credits Would Make Coverage More Affordable for Middle-Income Adults

Ingredients for Health Care Reform

Repeal-and-Delay Would Make Budget Neutrality for ACA Replacement Difficult

At 40, a Pioneering Health Care Experiment Remains Relevant

Modifying the ACA's Family Subsidy Rules to Help Ensure Affordability

What Happens If the ACA's Tax Credits Are Replaced with Premium Support?

Insurance Enrollment Holds Steady in Advance of the 2016 Open Enrollment Period

Charging Older Adults Higher Premiums Could Cost Taxpayers

The Ramifications of Repealing the Individual Mandate

Why Obamacare Lives

What Americans Know About King v. Burwell

Five Years of the Affordable Care Act

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