How the Commonwealth of Pennsylvania May Fare Under the Affordable Care Act 2014
This infographic presents findings from a RAND analysis of the economic and other effects of Medicaid expansion on the Commonwealth of Pennsylvania.
Publications on the Patient Protection and Affordable Care Act
2014
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How the Great State of Arkansas May Fare Under the Affordable Care Act 2014
This infographic presents findings from a RAND analysis of the economic and other effects of the Affordable Care Act on the state of Arkansas.
2013
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Labor Market Outcomes of Health Shocks and Dependent Coverage Expansions 2013
Explores the effects of employer-provided health insurance on labor market outcomes.
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The Oregon Experiment—effects of Medicaid on Clinical Outcomes 2013
Despite the imminent expansion of Medicaid coverage for low-income adults, the effects of expanding coverage are unclear. The 2008 Medicaid expansion in Oregon based on lottery drawings from a waiting list provided an opportunity to evaluate these effects.
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RAND Review: Vol. 37, No. 2, Fall 2013 2013
The cover story advocates for binational U.S. and Mexican immigration and labor reforms, while two feature stories explore ramifications of the Affordable Care Act and of British, French, and German defense policies in the face of austerity. An infographic details the cost-effectiveness of correctional education programs, while the Publisher's Page outlines ways to eliminate the kindergarten "readiness gap."
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A Two-Step Procedure to Estimate Participation and Premiums in Multistate Health Plans 2013
Multistate plans (MSPs) provide an attractive alternative among the health insurance plans established by the Affordable Care Act because they will have to be offered in multiple states. In this study, the authors' objectives were to identify and characterize population groups that would likely be interested in enrolling in MSPs and to develop a methodology to project participation and estimate premiums for these plans.
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What Can the Past of Pay-for-Performance Tell Us About the Future of Value-Based Purchasing in Medicare? 2013
We identify enduring gaps in P4P literature as it relates to Medicare's plans for Value-Based Purchasing and discuss important issues in the future of these implementations in Medicare.
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Will the Affordable Care Act Make Health Care More Affordable? 2013
For most lower-income people who obtain coverage as a result of the Affordable Care Act, health care spending will fall. But spending by some newly insured higher-income people will increase because they will be now paying insurance premiums.
2012
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The Effect of the Affordable Care Act on Enrollment and Premiums, With and Without the Individual Mandate 2012
This analysis used a RAND microsimulation model to predict the effects of a possible Supreme Court decision invalidating the individual mandate provision in the Patient Protection and Affordable Care Act of 2010 while keeping the other parts of the law intact. The authors predict the effects of such a decision on health insurance coverage overall and for subgroups based on income.
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Growth of Consumer-Directed Health Plans to One-Half of All Employer-Sponsored Insurance Could Save $57 Billion Annually 2012
Enrollment is increasing in consumer-directed health insurance plans, which feature high deductibles and a personal health care savings account.
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How Would Eliminating the Individual Mandate Affect Health Coverage and Premium Costs? 2012
An analysis of the effects of implementing the Affordable Care Act without an individual mandate found that over 12 million people who would have otherwise signed up for coverage will be uninsured and premium prices will increase by 2.4 percent.
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Medicare Postacute Care Payment Reforms Have Potential To Improve Efficiency Of Care, But May Need Changes To Cut Costs 2012
ACA-mandated payment reforms need to achieve more than a one-time cost saving.
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Skin in the Game: How Consumer-Directed Plans Affect the Cost and Use of Health Care 2012
If half of Americans with employer-sponsored insurance switched from a traditional health plan to a consumer-directed health plan, annual health care costs would fall by an estimated $57 billion.
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Two Years and Counting: How Will the Effects of the Affordable Care Act Be Monitored? 2012
The Affordable Care Act marks a new era in US health care and US medicine. This commentary suggests ways to monitor the act's effect on the health of the US population.
2011
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Small Firms' Actions in Two Areas, and Exchange Premium and Enrollment Impact 2011
An analysis of two rules that allow small businesses to avoid participating in health reform concludes they will have only a minor impact because relatively few businesses are likely to take advantage of the options.
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Employer Self-Insurance Decisions and the Implications of the Patient Protection and Affordable Care Act as Modified by the Health Care and Education Reconciliation Act of 2010 (ACA) 2011
This report examines incentives for small firms to self-insure resulting from the Patient Protection and Affordable Care Act as amended by the Health Care and Education Reconciliation Act of 2010 (ACA) and considers the consequences of self-insurance for health plan enrollees. The study also uses the COMPARE microsimulation model to estimate how ACA will influence decisions to self-insure.
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Health Care Reform and the Health Care Workforce — the Massachusetts Experience 2011
Analysis of the Massachusetts Health Care Reform Plan suggests national health care reform may require larger numbers of support personnel, rather than requiring greater numbers of physicians and nurses themselves.
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High-Deductible Health Plans Cut Spending but Also Reduce Preventive Care 2011
High-deductible plans significantly reduce health care spending but also lead consumers to cut back on their use of preventive health care — even though high-deductible plans waive the deductible for such care.
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How Does Health Reform Affect the Health Care Workforce? Lessons from Massachusetts 2011
Since Massachusetts enacted health reform legislation in 2006, health care employment in the state has grown more rapidly than in the rest of the United States, primarily in administrative positions.
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How Will Health Care Reform Affect Costs and Coverage? Examples from Five States 2011
Projects how the coverage-related provisions of the Patient Protection and Affordable Care Act will affect health insurance coverage and state government spending on health care in five states.
2012
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The Effect of the Affordable Care Act on Enrollment and Premiums, With and Without the Individual Mandate 2012
This analysis used a RAND microsimulation model to predict the effects of a possible Supreme Court decision invalidating the individual mandate provision in the Patient Protection and Affordable Care Act of 2010 while keeping the other parts of the law intact. The authors predict the effects of such a decision on health insurance coverage overall and for subgroups based on income.
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Growth of Consumer-Directed Health Plans to One-Half of All Employer-Sponsored Insurance Could Save $57 Billion Annually 2012
Enrollment is increasing in consumer-directed health insurance plans, which feature high deductibles and a personal health care savings account.
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How Would Eliminating the Individual Mandate Affect Health Coverage and Premium Costs? 2012
An analysis of the effects of implementing the Affordable Care Act without an individual mandate found that over 12 million people who would have otherwise signed up for coverage will be uninsured and premium prices will increase by 2.4 percent.
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Medicare Postacute Care Payment Reforms Have Potential To Improve Efficiency Of Care, But May Need Changes To Cut Costs 2012
ACA-mandated payment reforms need to achieve more than a one-time cost saving.
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Skin in the Game: How Consumer-Directed Plans Affect the Cost and Use of Health Care 2012
If half of Americans with employer-sponsored insurance switched from a traditional health plan to a consumer-directed health plan, annual health care costs would fall by an estimated $57 billion.
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Two Years and Counting: How Will the Effects of the Affordable Care Act Be Monitored? 2012
The Affordable Care Act marks a new era in US health care and US medicine. This commentary suggests ways to monitor the act's effect on the health of the US population.
2011
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Small Firms' Actions in Two Areas, and Exchange Premium and Enrollment Impact 2011
An analysis of two rules that allow small businesses to avoid participating in health reform concludes they will have only a minor impact because relatively few businesses are likely to take advantage of the options.
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Employer Self-Insurance Decisions and the Implications of the Patient Protection and Affordable Care Act as Modified by the Health Care and Education Reconciliation Act of 2010 (ACA) 2011
This report examines incentives for small firms to self-insure resulting from the Patient Protection and Affordable Care Act as amended by the Health Care and Education Reconciliation Act of 2010 (ACA) and considers the consequences of self-insurance for health plan enrollees. The study also uses the COMPARE microsimulation model to estimate how ACA will influence decisions to self-insure.
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Health Care Reform and the Health Care Workforce — the Massachusetts Experience 2011
Analysis of the Massachusetts Health Care Reform Plan suggests national health care reform may require larger numbers of support personnel, rather than requiring greater numbers of physicians and nurses themselves.
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High-Deductible Health Plans Cut Spending but Also Reduce Preventive Care 2011
High-deductible plans significantly reduce health care spending but also lead consumers to cut back on their use of preventive health care — even though high-deductible plans waive the deductible for such care.
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How Does Health Reform Affect the Health Care Workforce? Lessons from Massachusetts 2011
Since Massachusetts enacted health reform legislation in 2006, health care employment in the state has grown more rapidly than in the rest of the United States, primarily in administrative positions.
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How Will Health Care Reform Affect Costs and Coverage? Examples from Five States 2011
Projects how the coverage-related provisions of the Patient Protection and Affordable Care Act will affect health insurance coverage and state government spending on health care in five states.