Implementing the Affordable Care Act

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.

The Affordable Care Act in Depth

What's Hot Now

  • Announcement

    Health Care Economist Christine Eibner Appointed to Endowed Chair at RAND Corporation

    May 4, 2017

    Christine Eibner, a senior economist who has led influential work on how to improve the nation's health care system, has been appointed to the RAND Corporation's Paul O'Neill Alcoa Chair in Policy Analysis.

  • Report

    The Effects of the American Health Care Act

    May 3, 2017

    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.

  • Report

    Examining the Implementation of the Medicaid Primary Care Payment Increase

    Apr 4, 2017

    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.

  • Report

    Oregon's Options for Financing Health Care

    Jan 19, 2017

    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.

Browse All RAND Research on the Affordable Care Act