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.

  • Supporters of a "Medicare for All" plan gather on Capitol Hill in Washington, D.C., September 13, 2017, photo by Yuri Gripas/Reuters

    Report

    Spending Estimates Under Medicare for All

    Apr 10, 2019

    Under a Medicare for All plan similar to some proposals being discussed in Congress, total health expenditures would be an estimated 1.8 percent higher in 2019, relative to the status quo. While this is a small change in national spending, the federal government's health spending would increase substantially, rising by an estimated 221 percent.

  • A medical bill showing balance due, photo by DNY59/Getty Images

    Commentary

    Addressing Surprise Medical Bills Without Raising the Cost of Health Care

    Apr 1, 2019

    Patients who try to stay within their insurers' networks can be hit with surprise bills when they unknowingly receive care from out-of-network physicians. How much should a physician be paid for providing a service that is critical but rendered without the patient's ready ability to choose an in-network provider?

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