The Patient Protection and Affordable Care Act (ACA) represents one of the most sweeping reforms of the U.S. health care system ever enacted.
RAND’s analysis of the ACA has examined the impact of the law’s key provisions, how the law has evolved during the course of implementation, and changes to the number of uninsured during the initial enrollment period.
RAND analyzed three options to reform health care payment in Oregon (two state-based plans that would ensure coverage for all state residents and a state-sponsored plan offered in Oregon's nongroup market) and found benefits and trade-offs for each.
The Affordable Care Act authorized short-term, enhanced payments for qualifying primary care providers participating in Medicaid. Challenges with implementation, short timelines, and the need for new or adapted payment systems limited the policy's impact.
Federal health care reform had just begun in 2013 when Oregon authorized a study to improve how the state pays for health care. A comparison of the projected impacts and feasibility of four options can help Oregon's stakeholders choose the option that best suits their needs.
The likelihood that mothers with private health insurance would start breastfeeding increased by 2.5 percentage points after the Affordable Care Act mandated the coverage of lactation support services.