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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The Economic Impact of the Affordable Care Act on Arkansas 2013
The Affordable Care Act (ACA) will increase coverage through the expansion of Medicaid and the creation of a Health Insurance Exchange with subsidies. RAND researchers analyzed the ACA’s economic impact on the state of Arkansas and found that by 2016, about 400,000 people will be newly insured, net federal payments to the state will amount to $430 million annually, and the total gross domestic product will see a net increase of $550 million.
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Effects of the Affordable Care Act on Consumer Health Care Spending and Risk of Catastrophic Health Costs 2013
This study examines the likely effects of the Affordable Care Act on average annual consumer health care spending and the risk of catastrophic medical costs. The analysis also considers how the decision to expand Medicaid would affect average annual consumer health spending and the risk of catastrophic medical costs for low-income individuals in two large states: Texas and Florida.
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Efforts to Reform Physician Payment: Tying Payment to Performance 2013
Testimony presented before the House Energy and Commerce Committee, Subcommittee on Health on February 14, 2013.
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Financial Literacy and Consumer Choice of Health Insurance: Evidence from Low-Income Populations in the United States 2013
Examines the level and distribution of consumers' financial literacy across income groups, using 2012 data collected in the RAND American Life Panel.
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Guiding Implementation of the ACA's Medicaid Provisions 2013
RAND is working closely with decisionmakers at the federal and state levels to resolve many of the pressing program design and policy coordination challenges associated with implementing Medicaid-related provisions of the Affordable Care Act.
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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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Insurance Coverage of Emergency Care for Young Adults Under Health Reform 2012
The Affordable Care Act (ACA) established nationwide eligibility for young adults 19 to 25 years of age to retain coverage under their parents' private health plans. We conducted a study to determine how the implementation of this provision changed rates of insurance coverage for young adults seeking medical care for major emergencies.
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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.
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.