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

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  • 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.

  • Report

    Effects of the ACA's Medicaid Expansion on Health Insurance Enrollment

    Dec 29, 2016

    Increases in insurance coverage were larger in states that expanded Medicaid, but take-up was lower among men, Hispanics, and adults under 36.

  • Journal Article

    Effect of ACA Lactation Support on Breastfeeding

    Nov 28, 2016

    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.

Browse All RAND Research on the Affordable Care Act