U.S. Health Care Policy

The U.S. health care system is in flux. The Patient Protection and Affordable Care Act (ACA), enacted in 2010, remains in force. But from its inception, the law has faced strong opposition.

Congress must decide whether to eliminate the ACA and replace it with a different system, or change the ACA to meet different political goals. Extensive RAND research offers insights about the likely impact of repealing or revising the ACA along key dimensions, including Medicaid, the individual mandate, effects on employers, tax subsidies, changing rate regulations, and essential health benefits. We have also explored effects of alternatives to the ACA, including a single payer system.

In a recent analysis, a health policy expert steps back to consider what the basic ingredients are for health care reform.

Read More About U.S. Health Care Policy Browse RAND Analyses of Health Care Legislation, Policies, and Proposals
  • Commentary

    Aug 25, 2017

    Four Steps That Could Stabilize the Health Insurance Market

    Congress will soon discuss options to stabilize the individual market and ensure that all Americans have access to affordable coverage. Policymakers could encourage enrollment, make targeted investments to lower premiums, fund cost-sharing reductions, and enforce the individual mandate.

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