Health Care Reform

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The debate within the U.S. government about reforming the health care system centers on ways to control rising costs and assure high-quality, affordable care. RAND Health and its health care reform initiative—RAND COMPARE (Comprehensive Assessment of Reform Efforts)—provide objective research and analysis on topics that can inform the health care reform debate, including financing; increasing access, insurance coverage, and quality; decreasing costs; and promoting wellness and prevention.

  • Patients in a busy waiting room

    Research Brief

    New York's Proposed Single-Payer Plan Could Expand Coverage Without More Spending

    Aug 1, 2018

    The New York Health Act could provide insurance to all New York State residents without increasing overall spending if administrative costs are reduced and growth in provider payment rates is restrained. New taxes, instead of premiums and out-of-pocket payments, would finance the program.

  • Close up of calculator buttons for tax increase or tax decrease with blurred American dollars in the background

    Journal Article

    The Effect of Eliminating the ACA's Individual Mandate

    Jul 12, 2018

    Removing the financial penalties associated with the Affordable Care Act's individual mandate may cause enrollment to fall by 2.8 million to 13 million people. It could also result in a 3 to 13 percent increase in bronze plan premiums.

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