Policymakers seeking to adopt the CARE Act, or to pursue a similar repeal-and-replace policy, may need to maintain some of the ACA's revenue-generating provisions, adopt alternative revenue-generating provisions, or reduce the generosity of tax credits to achieve budget neutrality.
Under the ACA's dependent coverage expansion, there has been an increase in behavioral health treatment and a decrease in high out-of-pocket expenses and ER visits among young adults.
Policymakers have many options to expand coverage in the individual market. We considered federal investments that would enhance, extend, or increase the tax credits available to enrollees, as well as reinsurance approaches that would lower premiums.
This analysis of three options to reform health care payment in Oregon (two state-based plans that would ensure coverage for all state residents and a state-sponsored plan offered in Oregon's nongroup market) found benefits and trade-offs for each.
Patients who perceive their care to be integrated make less use of both emergency department and outpatient care.
This report describes the Affordable Care Act's (ACA's) effects on nonelderly veterans' insurance coverage and demand for Department of Veterans Affairs (VA) health care and assesses the coverage and VA utilization changes that could result from repealing the ACA.
Of three alternatives examined for expanding health insurance and lowering premiums with no additional federal spending, extending the Affordable Care Act's subsidies to all consumers and placing a floor on subsidies had the greatest benefit.
Part of a series highlighting innovative models and best practices for leveraging local health departments' involvement in Patient Protection and Affordable Care Act outreach and enrollment, this brief reports on a case study on Houston, Texas, that captures nuanced differences in how health departments support these efforts, identifies facilitators and barriers to these approaches, and develop lessons learned from these activities.
Part of a series on innovative models and best practices for leveraging local health departments' involvement in Patient Protection and Affordable Care Act outreach and enrollment, this report describes a case study on Tacoma--Pierce County, Washington, that captures nuanced differences in how health departments support these efforts, identifies facilitators and barriers to these approaches, and develop lessons learned from these activities.
Part of a series highlighting innovative models and best practices for leveraging local health departments' involvement in Patient Protection and Affordable Care Act outreach and enrollment, this report describes a case study on Boston and Massachusetts that captures nuanced differences in how health departments support these efforts, identifies facilitators and barriers to these approaches, and develop lessons learned from these activities.
Part of a series highlighting innovative models and best practices for leveraging local health departments' involvement in Patient Protection and Affordable Care Act outreach and enrollment, this report is a case study on three Colorado counties that captures nuanced differences in how health departments support these efforts, identifies facilitators and barriers to these approaches, and develop lessons learned from these activities.
Part of a series highlighting innovative models and best practices for leveraging local health departments' involvement in Patient Protection and Affordable Care Act outreach and enrollment, this report describes a case study on New Orleans, Louisiana, that captures nuanced differences in how health departments support these efforts, identifies facilitators and barriers to these approaches, and develop lessons learned from these activities.
Part of a series highlighting innovative models and best practices for leveraging local health departments' involvement in Patient Protection and Affordable Care Act outreach and enrollment, this brief reports on a case study on Illinois that captures nuanced differences in how health departments support these efforts, identifies facilitators and barriers to these approaches, and develop lessons learned from these activities.
This report summarizes seven case studies to highlight innovative models and best practices from seven case studies that leverage local health department (LHD) efforts in Patient Protection and Affordable Care Act outreach and enrollment to facilitate knowledge transfer to other geographic regions. Also, they provide guidance and insight into the current and future role of LHDs, as states continue to enroll residents in health insurance coverage.
Part of a series highlighting innovative models and best practices for leveraging local health departments' involvement in Patient Protection and Affordable Care Act outreach and enrollment, this report describes a case study on West Virginia that captures nuanced differences in how health departments support these efforts, identifies facilitators and barriers to these approaches, and develop lessons learned from these activities.
This executive summary summarizes what is known about the scope of childhood poverty in the United States today, as well as its effects on health and well-being for U.S children.
To understand how consumers make decisions and the extent to which various factors can hinder decisionmaking, RAND researchers reviewed the literature on health insurance choice and on designing websites to support consumers' choices and, where possible, gleaned best practices from the literature. To understand the approaches health insurance websites have taken to convey information to consumers, they then reviewed 20 websites.
After key ACA provisions went into effect in 2014, enrollment of HIV-positive patients increased. Those newly enrolled in a large California health plan were more likely to be male, in a high-deductible plan, and to have better viral control.
The Trump health care proposal would decrease the number of insured and increase consumer health spending among those with marketplace insurance relative to current law. The policies would also increase the federal deficit by varying amounts.
The authors used the National Health Interview Survey (NHIS) to estimate how the Affordable Care Act Medicaid expansion affected health insurance enrollment, by source of coverage, among childless adults who became newly eligible for Medicaid in 2014. The NHIS data allowed the authors to report changes in enrollment by source of coverage and to conduct subgroup analyses of Medicaid take-up by gender, age, and other characteristics.
