Publications on the Patient Protection and Affordable Care Act

2011

• The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in Texas: An Analysis from RAND COMPARE 2011

  David I. Auerbach, Sarah A. Nowak, Jeanne S. Ringel, Federico Girosi, Christine Eibner, Elizabeth A. McGlynn, Jeffrey Wasserman

  The Patient Protection and Affordable Care Act contains substantial new requirements aimed at increasing rates of health insurance coverage. This report provides estimates, based on the RAND COMPARE microsimulation model, of how the law will affect health insurance coverage and state government spending on health care in Texas through 2020.

• Payment Reform: Analysis of Models and Performance Measurement Implications 2011

  Eric C. Schneider, Peter S. Hussey, Christopher Schnyer

  U.S. policymakers are increasingly turning to performance measurement as a cornerstone of health care payment reform. This technical report catalogues nearly 100 implemented and proposed payment reform programs, classifies each program into one of 11 payment reform models, and identifies the performance measurement needs associated with each model. A synthesis of the results suggests near-term priorities for performance measure development.

• Policy Options for Addressing Medicare Payment Differentials Across Ambulatory Settings 2011

  Barbara O. Wynn, Peter S. Hussey, Teague Ruder

  Under Medicare, many health care services can be provided in a range of ambulatory settings, but payment differentials exist for the facility-related components of care. Building on prior RAND analyses, this report presents options for modifying Medicare payment policies to improve the value of services and to address cost and payment differentials for similar services provided in various ambulatory settings.

• Power to the People: The Role of Consumer-Controlled Personal Health Management Systems in the Evolution of Employer-Based Health Care Benefits 2011

  Spencer S. Jones, John P. Caloyeras, Soeren Mattke

  The passage of the Patient Protection and Affordable Care Act has piqued employers' interest in new benefit designs because it includes numerous provisions that favor cost-reducing strategies. This paper reviews consumer-controlled personal health management systems (HMSs) that provide health information management, promotion of wellness and healthy lifestyles, and decision support.

• Source Materials for the Healthy Communities Toolkit: A Resource Guide for Community and Faith-Based Organizations 2011

  Joie D. Acosta, Anita Chandra, Malcolm V. Williams, Lois M. Davis

  Provides content for a toolkit that will prepare community and faith-based organizations to take advantage of opportunities presented in the Patient Protection and Affordable Care Act to promote health in their communities. Includes key facts and figures about health topics, handouts for community groups, and web links for resources and other information in many areas of healthcare reform.

2010

• Analysis of the Affordable Health Care for America Act (H.R. 3962) 2010

  Elizabeth A. McGlynn, Jeanne S. Ringel, Carter C. Price, Federico Girosi

  Using the COMPARE microsimulation model, estimates proposed health care reform legislation's effects on the number of uninsured, the costs to the federal government and the nation, revenues from penalty payments, and consumers' health care spending.

• Analysis of the Patient Protection and Affordable Care Act (H.R. 3590) 2010

  Jeanne S. Ringel, Federico Girosi, Amado Cordova, Carter C. Price, Elizabeth A. McGlynn

  Using the COMPARE microsimulation model, estimates the effects of the Patient Protection and Affordable Care Act (H.R. 3590) on the number of uninsured, the costs to the federal government and the nation, and consumers' health care spending.

• Bending the Curve Through Health Reform Implementation 2010

  Joseph Antos, John Bertko, Michael E. Chernew, David M. Cutler, Francois de Brantes, Dana P. Goldman, Bob Kocher, Mark B. McClellan, Elizabeth A. McGlynn, Mark V. Pauly, et al.

  Cost savings can be achieved while improving health care quality by speeding payment reforms, implementing insurance reforms, and reforming coverage.

• Could We Have Covered More People at Less Cost? Technically, Yes; Politically, Probably Not 2010

  Elizabeth A. McGlynn, Amado Cordova, Jeffrey Wasserman, Federico Girosi

  Using the COMPARE (Comprehensive Assessment of Reform Efforts) microsimulation model, this study evaluated how the recently enacted health reform law performed compared with alternative designs on measures of effectiveness and efficiency and found that only a few different approaches would cover more individuals at a lower cost to the government; however, these appeared politically untenable because they included substantially higher penalties, lower subsidies, or less generous Medicaid expansion.

• Coverage, Spending, and Consumer Financial Risk: How Do the Recent House and Senate Health Care Bills Compare? 2010

  Elizabeth A. McGlynn, Jeanne S. Ringel, Federico Girosi, Amado Cordova, Carter C. Price

  Compares how two health care reform bills, HR. 3962 and H.R. 3590, passed by the U.S. House and Senate, respectively, in late 2009 compare on a variety of projections made using the RAND COMPARE microsimulation model.

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