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Affordable Care Act

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Through a number of provisions — such as individual and employer mandates, health insurance exchanges, and the expansion of Medicaid — the Patient Protection and Affordable Care Act (ACA) aims to expand access to health care for uninsured Americans. RAND has examined implementation challenges, cost and coverage implications, Medicaid expansion, state health insurance exchanges, and reforms to both care delivery and payment.

Commentary

Repeal-and-Delay Would Make Budget Neutrality for ACA Replacement Difficult

Jan 11, 2017

As Congress considers repealing and replacing the Affordable Care Act, it will need to consider how federal budget scoring can affect the fate of legislation. Depending on the ultimate cost of a replacement, finding enough savings to offset costs while maintaining budget neutrality could make it hard to pass a replacement.
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.

Explore Affordable Care Act

Report

The Benefits and Drawbacks of Alternative Tax Subsidization Approaches for Health Insurance

This report reviews the features of tax-based approaches to subsidizing health insurance, including tax credits and tax deductions, and summarizes their associated benefits and drawbacks.

Jul 13, 2017
Content

Alternatives to the Affordable Care Act

As alternatives to the Patient Protection and Affordable Care Act (ACA) continue to be proposed, RAND researchers assess the effects of modifying the ACA or replacing it with another plan.

Jun 15, 2017
Content

U.S. Health Care Policy

The U.S. health care policy landscape is poised for great change. 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 rating regulations, and essential health benefits.

Jun 9, 2017
Report

Report

Financing Health Care in Oregon: Four Policy Options

This presentation describes four options for financing health care for residents of the state of Oregon and compares the projected impacts and feasibility of each option.

May 17, 2017
Announcement

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

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.

May 4, 2017
Report

The Effects of the American Health Care Act

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.

May 3, 2017
Journal Article

Journal Article

Variation in Dermatologist Visits by Sociodemographic Characteristics

Medicaid enrollees are less likely than those with private insurance to see a dermatologist or receive care for a skin condition, suggesting that efforts need to be made to increase access to skin specialists.

Apr 26, 2017
Journal Article

Journal Article

The Clinical Pharmacy Specialist: Part of the Solution

Efforts to create high-functioning primary care teams should take advantage of the knowledge and skills of clinical pharmacy specialists

Apr 19, 2017
Commentary

Parental Leave Would Cause a Boom in Breastfeeding

Doctors recommend exclusive breastfeeding for the first six months of a baby's life. This provides health benefits to both mother and child and saves health care costs. Paid maternity leave can boost breastfeeding rates, but few U.S. firms offer it.

Apr 17, 2017
Multimedia

Drama over Health Care Continues

In this Call with the Experts, RAND senior economist Christine Eibner discusses the Affordable Care Act, what policymakers should consider, and changes that the current administration could make.

Apr 11, 2017
Report

Examining the Implementation of the Medicaid Primary Care Payment Increase

RAND researchers examined stakeholder experiences with an Affordable Care Act provision that qualifying providers of primary care services participating in the Medicaid program would receive enhanced federal payments for providing certain services.

Apr 4, 2017
Multimedia

Repeal, Replace, Repair, or Improve? The Future of the ACA

In this March 2017 congressional briefing, RAND senior economist, Christine Eibner, discusses how individuals and employers will respond to major health care policy changes as the new administration reassesses the Affordable Care Act.

Mar 17, 2017
Journal Article

Journal Article

Impact of the Affordable Care Act's Dependent Coverage Expansion on the Health Care and Health Status of Young Adults: What Do We Know So Far

Under the ACA's dependent coverage expansion, there has been an increase in behavioral health treatment and a decrease in high out-of-pocket expenses and ER visits among young adults.

Mar 14, 2017
Journal Article

Journal Article

Patient Perceptions of Integrated Care and Their Relationship to Utilization of Emergency, Inpatient and Outpatient Services

Patients who perceive their care to be integrated make less use of both emergency department and outpatient care.

Mar 14, 2017
News Release

News Release

Oregon Has Options to Move Toward Universal Health Coverage; Repeal of the Affordable Care Act Would Make All Options ...

Oregon has options for reforming health care financing to expand coverage and meet broader goals, though they differ in their feasibility, tradeoffs and financing requirements.

Jan 19, 2017
Research Brief

Oregon's Options to Overhaul Health Care Financing: Health Care Reform 2.0?

This analysis of 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) found benefits and trade-offs for each.

Jan 19, 2017
Report

Oregon's Options for Financing Health Care

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.

Jan 19, 2017
Commentary

Can a Continuous Coverage Requirement Produce a Healthy Insurance Market?

A continuous coverage requirement aims to discourage individuals from waiting until they become sick to buy insurance. This works well in theory. But there is little evidence on how it might work in practice.

Jan 4, 2017
Journal Article

Journal Article

The National Adult Immunization Plan: Strengthening Adult Immunization Through Coordinated Action

Addressing persistent structural and policy barriers to adult immunization will benefit all Americans.

Jan 3, 2017

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RAND Topic:
Affordable Care Act

Topic Synonyms:
ACA;
Health Care Bill;
Health Care Reform Bill;
Healthcare Bill;
Healthcare Reform Bill;
HR 3200;
Patient Protection and Affordable Care Act