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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.

News Release
Prevalence of Dementia Is Declining Among Older Americans; Inequalities Reduced but Still Persist
The prevalence of dementia in the United States is declining among people over age 65, dropping 3.7 percentage points from 2000 to 2016.
Nov 7, 2022
Q&A
Abortion After the Dobbs Decision: Q&A with RAND Researchers
The overturning of Roe v. Wade is likely to disproportionately affect vulnerable populations, including U.S. service women and pregnant women with substance use disorders. And abortion misinformation will likely increase. RAND researchers discuss these issues and potential policy responses.
Oct 25, 2022

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Report
Gender Differences in Health Among U.S. Service Members: Unwanted Gender-Based Experiences as an Explanatory Factor
This report examines how experiences of sexual harassment, gender discrimination, and sexual assault among military service members relate to general health and symptoms of depression and posttraumatic stress disorder.
Apr 4, 2022
News Release
Trends in Hospital Prices Varied Widely Across the United States
The average prices charged to commercial health plans by hospitals, as compared to what Medicare pays, remained relatively stable between 2012 and 2019, but there was a large amount of geographic variation in the trends.
Apr 4, 2022
Blog
Helping Ukrainian Refugees, Truth Decay, Algorithmic Inequity: RAND Weekly Recap
This weekly recap focuses on how to help Ukrainian refugees, the link between cognitive processes and Truth Decay, tracking wastewater to understand the spread of COVID-19, and more.
Apr 1, 2022
Commentary
How We Might Better Live with Oil in California
As California grapples with the question of balancing environmental stewardship with the recent renewed focus on “local oil,” lawmakers could look to local communities for the best answers to avoid future petro-disasters.
Apr 1, 2022
Commentary
How to Improve Quality of Life in Greater Cambridge: The Perspective of Local Organisational and Community Leaders
The Cambridge, UK, area performs well in different dimensions of quality of life. However real-life experience differs significantly across communities and across measurements.
Mar 31, 2022
Tool
Environmental Racism: A Tool for Exploring the Enduring Legacy of Redlining on Urban Environments
Researchers developed an online tool for visualizing the spatial relationships between the discriminatory practice of redlining and exposure to environmental hazards (e.g., pollution, waste sites).
Mar 31, 2022
Research Brief
Increasing Subsidies and Expanding Health Insurance Options in Connecticut: Findings Without the Build Back Better Act
The authors estimated the impacts of policy options to increase the affordability of insurance in Connecticut with the assumption that subsidy enhancements enacted under the American Rescue Plan Act of 2021 would not continue past 2022.
Mar 31, 2022
Journal Article
Beyond State Scope of Practice Laws for Advanced Practitioners: Additional Supervision Requirements for Buprenorphine Prescribing
This study of state laws governing buprenorphine prescribing found that these vary; nurse practitioner and physician assistant supervision should include state non-scope of practice laws.
Mar 31, 2022
Journal Article
The Impact of the COVID-19 Pandemic and Policy Response on Health Care Utilization: Evidence from County-Level Medical Claims and Cellphone Data
Shelter-in-place policies during the COVID-19 pandemic were associated with reductions in the use of preventive care, elective care, and the number of weekly visits to physician offices, hospitals and other health care-related industries.
Mar 31, 2022
Journal Article
Perceived Discrimination, Adherence to Antiretroviral Therapy, and HIV Care Engagement Among HIV-positive Black Adults: The Mediating Role of Medical Mistrust
Perceived discrimination and mistrust have indirect negative effects on adherence to antiretroviral therapy among HIV-positive Black adults.
Mar 31, 2022
Report
Expanding Connecticut State Employee Health Plan to Others Could Increase Insurance Coverage More Than Other Options
Creating a version of the Connecticut state employee health plan for small businesses would insure the most people at the lowest cost to the state. This approach holds promise for stabilizing or reducing consumer costs, improving plan generosity, and bringing more people into the market.
Mar 31, 2022
News Release
Expanding State Employee Health Plan to Others May Do More Than Other Options to Expand Insurance Coverage in ...
Among options to increase health insurance coverage in Connecticut, making a version of the state's employee health plan available to small businesses and some other employers would insure the most people at the lowest cost to the state.
Mar 31, 2022
Journal Article
Projected Coverage and Subsidy Impacts If the American Rescue Plan's Marketplace Provisions Sunset in 2023
An estimated 3 million people currently insured in the individual market would lose coverage and become uninsured if the American Rescue Plan's premium tax credit provisions are not extended beyond 2022.
Mar 29, 2022
Journal Article
Section 1332 Waiver Evaluation Report: Evaluating the Oregon Reinsurance Program
This report documents findings from the evaluation of Oregon's waiver, through which the state implemented the Oregon Reinsurance Program (ORP).
Mar 29, 2022
Journal Article
Section 1332 Waiver Evaluation Report: Evaluating the Minnesota Reinsurance Program
This report documents findings from the evaluation of Minnesota's waiver, through which the state implemented the Minnesota Premium Security Plan.
Mar 29, 2022
Journal Article
Section 1332 Waiver Evaluation Report: Evaluating the Alaska Reinsurance Program
This report documents findings from the evaluation of Alaska's waiver, through which the state implemented the Alaska Reinsurance Program (ARP).
Mar 29, 2022
Journal Article
Assessment of Postoperative Opioid Prescriptions Before and After Implementation of a Mandatory Prescription Drug Monitoring Program
In this study of adult patients who received a postoperative prescription for opioid medication, mandatory consultation with EHR-based alerts was associated with decreases in prescription quantities.
Mar 29, 2022
Journal Article
Stepped Care for Depression at Integrated Chronic Care Centers (IC3) in Malawi: Study Protocol for a Stepped-Wedge Cluster Randomized Controlled Trial
This study will compare the effects of an evidence-based depression care model versus usual care on depression symptom remediation as well as physical health outcomes for chronic care conditions.
Mar 29, 2022
Journal Article
Association of Individual and Community Factors With Hepatitis C Infections Among Pregnant People and Newborns
US hepatitis C viral infections among pregnant women grew fastest among White and American Indian/Alaska Native people without a 4-year degree.
Mar 29, 2022
Report
Impacts of Marine Corps Body Composition and Military Appearance Program (BCMAP) Standards on Individual Outcomes and Talent Management
Researchers examine how the U.S. Marine Corps' Body Composition and Military Appearance Program and its associated policies drive individual behavior -- namely those related to disordered eating -- of marines and specifically of women and people of color.
Mar 28, 2022

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RAND Topic:
Health, Health Care, and Aging

Research conducted by

Researcher Spotlight

Vikram Kilambi

Associate Research Department Director, Engineering and Applied Sciences Department

Vikram Kilambi is an associate research department director of RAND's Engineering and Applied Sciences Department, and an operations researcher at the RAND Corporation. He focuses on personnel and resource management in health-care, defense, and homeland security. His specialty is in assisting…
Stuart S. Olmsted

Director of Operations, Research and Analysis

Stuart Olmsted is director of operations for research and analysis and a senior natural scientist at the RAND Corporation. He works on science and technology policy issues in education and health. Olmsted's recent research includes measuring laboratory capacity to respond to bioterrorism attacks…

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