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Health Care Reform

Health Care Reform
commentary
Out of the Ashes: Forging the Post-Pandemic U.S. Health System
Sydney Fouche, Kaitlyn Entel, Christopher Nelson, Chloe E. Bird @ChloeBirdPhD, Mahshid Abir
Jul 31, 2020
The RAND Blog
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.
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Coronavirus Disease 2019 (COVID-19)
blog
COVID-19's Effects on U.S. Schools, Vaccine Uptake, Small Businesses: RAND Weekly Recap
May 29, 2020
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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Health Care Reform
commentary
Options for Designing a Public Option
Michael Cohen, Al Bingham, Stan Dorn, Jodi L. Liu @jodilliu, Christine Eibner @Chrissyeibner
May 28, 2020
The RAND Blog
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.
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Politics and Government
blog
State of the Union 2020: Insights from RAND
Feb 5, 2020
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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Health Insurance Cost Sharing
commentary
Medicare for All: Sounds Good, but What Does It Mean?
David Anderson, Jodi L. Liu @jodilliu, Mark W. Friedberg
Nov 19, 2018
Health Affairs Blog
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.
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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 Payment Approaches
commentary
Potential Benefits for Most New Yorkers but No Free Lunch: Tough Decisions for Single-Payer Health Care in New York
Jodi L. Liu @jodilliu
Aug 6, 2018
New York Daily News
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.
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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 Payment Approaches
commentary
Savings from a Single-Payer Health System Would Not Be Automatic
Jodi L. Liu @jodilliu
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
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 @jodilliu, 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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