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Health, Health Care, and Aging

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RAND advances understanding of health and health behaviors, and examines how the organization and financing of care affect costs, quality, and access. Our body of research includes innovative studies of health insurance, health care reform, and health information technology, as well as obesity, substance abuse, and PTSD. RAND findings also help inform policies that aim to improve the health of seniors and the care they receive.

Research Brief
Putting Equity First in COVID-19 Vaccination
COVID-19 vaccination rates were significantly lower in U.S. communities of color, contributing to stark inequities in the effects of the virus. The Equity-First Vaccination Initiative shows how a hyper-local approach can increase vaccine confidence and access to help close this gap.
Aug 24, 2022
News Release
Out-of-Pocket Cost of Naloxone May Keep Many Uninsured from Using Lifesaving Treatment
The cost of buying the opioid antidote naloxone is out of reach for many uninsured Americans, a hurdle that may keep the treatment from saving more people who overdose on opioids.
Aug 19, 2022

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News Release
Audio-Only Telehealth Remains Common at Safety Net Health Clinics; Trend Raises Questions About Quality
Rapid adoption of telehealth helped safety net clinics in California to maintain consistent levels of service after the onset of the COVID-19 pandemic, but the use of audio-only care has persisted in the clinics longer than in other types of health care settings.
Mar 15, 2022
News Release
Research Project Will Probe Role of Structural Racism in Development of Dementias and Cognitive Decline Among African Americans
The RAND Corporation and the University of Pittsburgh will study residents of two predominantly Black neighborhoods in Pittsburgh to examine how exposure to the legacies of structural racism at the neighborhood and individual levels may contribute to the risk of Alzheimer's disease and related dementia in African Americans.
Mar 14, 2022
Commentary
What Is Really Polarizing Schools Right Now?
Political polarization that rises to the level of interfering with schooling isn't simply a headache; it's a fundamental problem for public education. When there is deep disagreement over the essentials—what schools teach, how they keep children safe—schools are at risk of becoming ungovernable.
Mar 14, 2022
Multimedia
A Conversation with VA Secretary McDonough on the Department's Recommendations to the Asset and Infrastructure Review Commission
In advance of the release of a nationwide study to inform investments in U.S. Department of Veterans Affairs (VA) health care, Secretary Denis R. McDonough discussed VA's current infrastructure, the study methods, and VA's recommendations.
Mar 14, 2022
Report
Audio-Only Telehealth Remains Common at Safety Net Clinics; Raises Questions About Quality
Early in the COVID-19 pandemic, rapid adoption of telehealth helped safety net clinics in California maintain service. But the use of audio-only care has persisted in the clinics, raising questions about the quality of care and equity for low-income patients.
Mar 14, 2022
Periodical
RAND Review: March-April 2022
The cover story describes a yearlong study of a group of military veterans experiencing homelessness in Los Angeles. Other features examine the global digital skills gap and the magnitude and sources of disagreement among gun policy experts.
Mar 10, 2022
Testimony
Impacts, Risks, and Adaptation Solutions to Climate Change
The Intergovernmental Panel on Climate Change brings together scientists from around the world to assess the current state of knowledge regarding climate change, and potential consequences and solutions. Its recent report has a strong focus on adaptation solutions but also describes where adaptation is falling short.
Mar 10, 2022
Report
Evaluating WhyWeRise 2020 and 2021
WhyWeRise is a social marketing campaign conducted by the Los Angeles County Department of Mental Health. It is focused on prevention of, and early intervention for, mental health challenges among county residents. Surveys suggest that this campaign reached a racially, culturally, and economically diverse group of county residents; fostered a feeling of support among those exposed to the campaign; and boosted residents' awareness of local resources.
Mar 10, 2022
Journal Article
Standardized Assessment of Depression Symptoms in Post-Acute Care: A Screening Threshold Approach
The present study tested a gateway version of a depression screening protocol (PHQ-2 to 9). Findings suggest the feasibility of a gateway scoring approach to standardized assessment of depression symptoms among PAC patients.
Mar 8, 2022
Journal Article
Lessons Learned Recruiting and Retaining Pregnant and Postpartum Individuals in Digital Trials
We collaborated to share lessons learned from our experiences recruiting and retaining pregnant and postpartum individuals in digital trials of social and behavioral interventions.
Mar 8, 2022
Multimedia
The Economic Benefits of Investing in Women's Health Research
RAND senior sociologist Chloe Bird explains that the benefits of investing in women's health research aren't limited to women's health, but rather include the potential for enormous economic gains.
Mar 7, 2022
Blog
The West's Response to Russia, the State of the Union, Outer Space: RAND Weekly Recap
This weekly recap focuses on how to prevent Russia's war on Ukraine from becoming a war with NATO, insights from RAND on the State of the Union, the future of outer space, and more.
Mar 4, 2022
Journal Article
Cannabis Legalization and Cannabis-Involved Pregnancy Hospitalizations in Colorado
The primary objective of this study was to evaluate the association between presence of recreational cannabis dispensaries and prevalence of cannabis-involved pregnancy hospitalizations in Colorado.
Mar 4, 2022
Journal Article
Comparison of Hospital Claims and Poison Center Data to Evaluate Health Impact of Opioids, Cannabis and Synthetic Cannabinoids
This study demonstrates the differences in surveillance methodology for concurrent drug abuse epidemics using hospital claims and PC data. Both systems provide incomplete reports, but in combination can provide a more complete picture.
Mar 4, 2022
Journal Article
APCDs Can Provide Important Insights for Surveilling the Opioid Epidemic, With Caveats
We compared Colorado's all-payer claims databases with other state-level databases, using analyses comparing quarterly rates of opioid-involved inpatient and emergency department visits and rates of 30-day opioid fills.
Mar 4, 2022
Journal Article
Changes in Emergency Department Encounters for Vomiting After Cannabis Legalization in Colorado
The findings of this study suggest that cannabis legalization in Colorado is associated with an increase in annual vomiting-related health care encounters with regard to exposure to these markets.
Mar 4, 2022
Journal Article
Content and Actionability of Recommendations to Providers After Shadow Coaching
This study aimed to examine the content of the recommendations given to providers aimed at improving provider-patient interactions, characterize these recommendations, and examine their actionability.
Mar 4, 2022
Journal Article
Impact of Telelactation Services on Breastfeeding Outcomes Among Black and Latinx Parents: Protocol for the Tele-MILC Randomized Controlled Trial
We present a protocol for the digital Tele-MILC trial, which uses mixed methods to evaluate the impact of telelactation services on breastfeeding outcomes.
Mar 4, 2022
Journal Article
Access to High-Cost Medications After a Cap on Monthly Out-of-Pocket Spending in California
This cross-sectional study evaluates the association of a cap on monthly out-of-pocket spending on high-cost drugs with use of these drugs and out-of-pocket spending in California in 2015 and 2016.
Mar 4, 2022
Journal Article
Do Financial Incentives Affect Utilization for Chronically Ill Medicare Beneficiaries?
We find that Medicare Advantage beneficiaries with chronic conditions respond to changes in copays, although these responses are small. Reductions in copays lead to reduced use of specialists, suggesting that lowering copays could be a way to reduce specialist care.
Mar 4, 2022

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Health, Health Care, and Aging

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