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.
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Browse RAND Analyses of Health Care Legislation, Policies, and Proposals
Sep 23, 2017
Americans expect affordable coverage for pre-existing conditions, access to routine services, and protection from unpredictable and significant financial risk from accidents or illness. As a product designed primarily for risk protection, insurance may not be the most efficient or affordable approach to achieving all of these objectives.
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Increasing prevention and treatment improves children's experience and long-term outcomes while paying for itself by reducing lifetime child welfare system costs.
Policies aimed at increasing prevention and kinship care in the child welfare system improve children's experience and long-term outcomes. This approach is also cost effective, reducing total spending by 3 to 7 percent.
The individual insurance market works better with more enrollees. Enhancing or extending tax credits could increase enrollment by up to 3.4 million.
To stabilize the state's individual health insurance market, Iowa proposed the Iowa Stopgap Measure (ISM). ISM modifications would increase the federal deficit, but decrease federal spending per enrollee.