Special Feature: The Rising Costs of Health Care

A Decade of Health Care Cost Growth: Impact on the American Family

money stethoscope

How do soaring health care costs affect the finances of the average American family? A RAND Health study shows that the doubling of health costs between 1999 and 2009 largely wiped out an average family's real income gains. In fact, in 2009 the family had a net gain of only $95 per month. If health care costs had tracked general inflation over the decade, the family would have had nearly $5,400 more in 2009.

  • Rising Costs of Health Care

    May 24, 2011

    On May 24, 2011, the RAND Corporation presented “Rising Costs of Health Care” as part of its Issues in Focus public outreach series in Santa Monica, California. The program featured Arthur Kellermann, vice president and director of RAND Health.

  • Safety-Net Providers Can Adopt Medical Home Models and Improve Primary Care; Cost Reductions Harder

    Most of the federally qualified health centers that participated in a program to help them adopt a “medical home” model of advanced primary care were successful in doing so. These changes improved access to primary care, but did not decrease the use of specialty care, acute care services or Medicare expenditures.

  • What Is Single-Payer Health Care?

    Policy discussions of single-payer health system proposals need to account for the substantial variation in how they would change the financing, pooling, purchasing and delivery of health care.

  • Multiple Chronic Conditions in the United States

    This chartbook provides information on the prevalence of multiple chronic conditions in the United States and explores associated health care use and medical spending.

  • MACRA's Effects on Medicare Payment Policy and Spending

    RAND researchers used the RAND Health Care Payment and Delivery Simulation Model (PADSIM) to estimate how sensitive physician behavior is to the design of alternative payment models under the Medicare Access and CHIP Reauthorization Act (MACRA).

  • The Effects of the American Health Care Act

    The American Health Care Act would have reduced insurance enrollment by an estimated 14.2 million people in 2020 and by 19.7 million people by 2026. The uninsured would have been older, sicker, and poorer than those currently uninsured. Also, the AHCA would have increased the deficit by $38 billion in 2020 while reducing it by $5 billion in 2026.

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