Health Care Reform

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RAND Commentary Highlights of 2021

Vaccine rollouts, an attack on the U.S. Capitol, massive ransomware attacks, the withdrawal from Afghanistan, record numbers of job openings and people quitting, and more. RAND researchers weighed in on all these topics and more.

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Sexual Assault in the Military, School Security, Mental Health Care: RAND Weekly Recap

This weekly recap focuses on the risk of sexual assault to sexual minorities in the U.S. military, making medication treatment more accessible to people struggling with opioid addiction, countering Russian propaganda, and more.

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How COVID-19 Lessons Can Transform U.S. Mental Health Care

It would be a powerful conclusion to the pandemic if Americans reimagined a health system that was resilient against future threats, including the resulting psychological trauma. Policymakers have the opportunity now to cut short the pandemic's long tail of mental illness by taking decisive action.

Ryan K. McBain @ryankmcbain

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Out of the Ashes: Forging the Post-Pandemic U.S. Health System

With shifting insights, new problems, and exacerbation of old problems revealed by the pandemic, innovative solutions in the U.S. health system are being adopted where rapid change would normally have been rare. There is both an opportunity and a responsibility to assess how these changes are working and where they can improve health, reduce inequity, and save money.

Sydney Fouche, Kaitlyn Entel, et al.

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COVID-19's Effects on U.S. Schools, Vaccine Uptake, Small Businesses: RAND Weekly Recap

This weekly recap focuses on how COVID-19 has affected U.S. schools, potential barriers to vaccine uptake, what small businesses need to survive, and more.

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Options for Designing a Public Option

State and federal policymakers are considering adding state-backed public options to the individual market in an effort to expand health coverage and improve affordability. We analyzed what would happen if public options became available in U.S. health insurance exchanges.

Michael Cohen, Al Bingham, et al.

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State of the Union 2020: Insights from RAND

The final State of the Union address of President Trump's four-year term may be viewed through the lens of the unprecedented circumstances surrounding the evening. But the speech touched on a range of policy challenges that will remain, regardless of how politics play out in 2020.

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Medicare for All: Sounds Good, but What Does It Mean?

Traditional Medicare is popular and therefore can lend a good brand name to coverage expansion proposals, but its limits can be significant for some patients. Those proposing and evaluating “Medicare for All” proposals should consider whether and how these limits are addressed.

David Anderson, Jodi L. Liu @jodilliu, et al.

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Understanding the Impact of the Elimination of the Individual Mandate Penalty

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.

Christine Eibner @Chrissyeibner, Sarah A. Nowak

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Potential Benefits for Most New Yorkers but No Free Lunch: Tough Decisions for Single-Payer Health Care in New York

A single-payer plan in New York would shift health care spending to the state instead of private insurers. As with any far-reaching legislation, there are trade-offs. It's important that policymakers consider the impact of the single-payer plan in totality.

Jodi L. Liu @jodilliu

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

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

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.

Jodi L. Liu @jodilliu

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Do Americans Expect Too Much from Health Insurance?

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.

Christine Eibner @Chrissyeibner, Katherine Grace Carman @KGCarman

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RAND's Summer Reading List for Congress

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

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.

Jodi L. Liu @jodilliu, Christine Eibner @Chrissyeibner