Publications on the Patient Protection and Affordable Care Act

2011

• 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 2009

  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 2009

  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.

• The Effects of the Affordable Care Act on Workers' Health Insurance Coverage 2010

  Christine Eibner, Peter S. Hussey, Federico Girosi

  The nature of employer-sponsored coverage may change substantially after implementation of the Patient Protection and Affordable Care Act, with an increase in the number of workers offered coverage through the health insurance exchanges.

• Establishing State Health Insurance Exchanges: Implications for Health Insurance Enrollment, Spending, and Small Businesses 2010

  Christine Eibner, Federico Girosi, Carter C. Price, Amado Cordova, Peter S. Hussey, Alice Beckman, Elizabeth A. McGlynn

  The RAND Corporation's Comprehensive Assessment of Reform Efforts microsimulation model predicts that the Patient Protection and Affordable Care Act will increase insurance offer rates among small businesses. By 2016, offer rates would increase from 53 to 77 percent for firms with ten or fewer workers, from 71 to 90 percent for firms with 11 to 25 workers, and from 90 percent to nearly 100 percent for firms with 26 to 100 workers.

• Grandfathering in the Small Group Market Under the Patient Protection and Affordable Care Act: Effects on Offer Rates, Premiums, and Coverage 2010

  Christine Eibner, Federico Girosi, Carter C. Price, Elizabeth A. McGlynn

  The Patient Protection and Affordable Care Act (PPACA) will introduce new health insurance options. To prevent changes in current coverage, PPACA exempts existing plans from some regulations, a policy known as “grandfathering.” While grandfathering in the small group market may lead to slightly higher premiums in state insurance exchanges, it is also associated with higher employer-sponsored insurance enrollment and lower government spending.

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