The RAND Lowy Family Middle-Class Pathways Center (MCPC) is committed to forging new and better paths toward sustainable work opportunities for all Americans. RAND researchers are designing, piloting, and evaluating interventions focused on skill pathways, entrepreneurship, and workplace technology.
Depending on definition, the American middle class has been either receiving less income or shrinking in size since the 1970s. And the pandemic's effects on the economy will likely accelerate the decline of the middle class and disproportionate entry into the lower class.
The 10Plan is a self-pay plan for individuals currently uninsured or covered by a private nongroup health insurance plan. The authors built a microsimulation model to estimate health care spending under both the status quo and the 10Plan.
RAND researchers used data from 49 states and Washington, D.C., to assess hospital prices paid by private health plans. Data sources included $33.8 billion in spending from 3,112 community hospitals—more than half of community hospitals nationwide.
The disaffection of a wide swath of the American population has been linked to the political polarization of the country, as well as its divisive tendencies. While globalization is not the only reason for this disaffection, it is an apt lens through which to view the revolt against elitism, expertise, and changing demographics.
Among strategies to curb hospital prices among the commercially insured population in the United States, direct price regulations such as setting rates are likely to achieve greater savings than other approaches like increasing competition or improving price transparency.
Price regulations face political obstacles and have been strongly opposed by medical providers. But setting prices for all commercial health care payers could reduce hospital spending by $61.9 billion to $236.6 billion a year if the rates were set at 100 to 150 percent of the amounts paid by Medicare.
Taiwan remains the People's Liberation Army's main strategic direction despite a growing recognition that the PLA must also support China's international interests and presence. Does China see itself as capable of confronting the United States and its allies in a conflict over Taiwan? And what are some U.S. policy considerations?
As the Biden administration assesses its Taiwan policy, it is important to examine how U.S. allies and partners in the Indo-Pacific might respond to a potential conflict over Taiwan. What factors might influence their willingness to help the United States defend Taiwan? And how might they respond if the United States did not come to Taiwan's defense?
Montana is struggling to recruit and retain qualified educators, especially in certain subject areas and in rural parts of the state. This study provides information that will help the task force address these challenges.
RAND researchers examine current price transparency efforts and their features, describe barriers to more widespread availability and use of price information, and discuss possible ways to overcome those barriers.
This study uses insurance claims data and changes in plan offerings within firms over time to estimate treatment effects of high-deductible plans on spending on 24 low-value services received in the outpatient setting.
The effect of the 2018 CHRONIC Care Act and how it may evolve before implementation begins in 2020 remains uncertain as we wait to see how MA plans will interpret eligibility criteria and services offered without any additional allotted funding.
Pediatric dental care is an essential health benefit that the Affordable Care Act requires most private health plans to cover. It is unknown how these different pediatric dental coverage offerings may affect uptake of coverage.
The name Department of Homeland Security belies an important set of roles, missions, and functions of the department related to the economic security of the United States. Wielding these powers to their full extent during the COVID-19 pandemic could set the conditions for a more rapid recovery.
The authors examine U.S. Air Force civilian compensation for hard-to-fill and mission critical occupations, comparing it with other federal agencies and the private sector and providing recommendations for recruiting and retaining civilian talent.