Health Legislation

  • Carter Price

    Multimedia

    The Math of State Medicaid Expansion

    Mathematician Carter Price discusses the potential impacts to low-income populations and local economies in states that choose not to expand Medicaid under the Affordable Care Act.

    Jul 1, 2013

  • A stethoscope atop a United States flag

    Brochure

    Helping Decisionmakers Implement the ACA's Medicaid Provisions

    The Affordable Care Act (ACA) contains many Medicaid-related provisions. RAND is working closely with decisionmakers at the federal and state levels to help resolve challenges associated with implementing the ACA's sweeping reforms.

    Jun 26, 2013

  • Harrisburg, Pennsylvania panorama

    Report

    Revenue, Spending Reductions Will Offset Costs of Expanding Medicaid in PA

    While the expansion of Medicaid under the Affordable Care Act will require additional spending by the Commonwealth of Pennsylvania, these costs will be more than offset by additional revenue or reductions in other spending in the 2014-2020 timeframe.

    Jun 24, 2013

  • Doctor with young woman

    Commentary

    Will Small Firms Self-Insure After Jan. 1, 2014?

    Because of the ACA's regulations, some smaller employers with young and healthy workers are considering avoiding the purchase of health care coverage in the regulated market, opting instead to self-insure their employees.

    Jun 17, 2013

  • doctor checking the throat of a young boy

    Research Brief

    The Math of State Medicaid Expansion

    RAND researchers have analyzed how opting out of Medicaid expansion would affect insurance coverage and spending and whether alternative policy options—such as partial Medicaid expansion—could cover as many people at lower costs to states.

    Jun 7, 2013

  • A woman is wheeled through an emergency department on a gurney.

    Blog

    Covering Emergency Care for Young Adults: Is the ACA Doing Its Job?

    The dependent coverage provision of the Affordable Care Act is working as intended, say Andrew Mulcahy and Katherine Harris. In 2011, it spared individuals and hospitals from $147 million in emergency room costs.

    Jun 5, 2013

  • News Release

    News Release

    Expanding Medicaid Is Best Financial Option for States

    States that choose not to expand Medicaid under federal health care reform will leave millions of their residents without health insurance and increase spending on the cost of treating uninsured residents, at least in the short term.

    Jun 3, 2013

  • Journal Article

    Journal Article

    Training Tomorrow's Comprehensive Primary Care Internists: A Way Forward for Internal Medicine Education

    Our article focuses on the specific implications of US health reform for internal medicine GME. We describe the required competencies that will allow tomorrow's comprehensive primary care internist to thrive in a proactive US care system.

    Jun 1, 2013

  • Nuns On The Bus rally and Texas Capitol visit about Medicaid

    Journal Article

    Expanding Medicaid Is Best Financial Option for States

    States that choose not to expand Medicaid under federal health care reform will leave millions of their residents without health insurance and increase spending on the cost of treating uninsured residents, at least in the short term.

    Jun 1, 2013

  • News Release

    News Release

    Health Reform Shields Young Adults from Emergency Medical Costs

    A new federal law allowing young adults to remain on their parents' medical insurance through age 25 has shielded them, their families, and hospitals from the full financial consequences of serious medical emergencies.

    May 29, 2013

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    Report

    Supporting the Designation of Academic Health Science Centres (AHSCs) in England

    A ranking methodology can provide a general indication of the quality of institutions applying to be deemed Academic Health Science Centres in England.

    May 2, 2013

  • Journal Article

    Journal Article

    The Oregon Experiment—effects of Medicaid on Clinical Outcomes

    Despite the imminent expansion of Medicaid coverage for low-income adults, the effects of expanding coverage are unclear. The 2008 Medicaid expansion in Oregon based on lottery drawings from a waiting list provided an opportunity to evaluate these effects.

    May 1, 2013

  • "My Medicaid Matters" rally on Capitol Hill

    Commentary

    Governors Missing the Point on Medicaid

    While a governor or legislator may disagree with Medicaid expansion for philosophical reasons, the claims that the expansion will be a burden on states' economies seem misguided given the full range of projected economic impacts on the states, writes Carter C. Price.

    Apr 29, 2013

  • Journal Article

    Reducing the Stigma of Mental Illness

    California's Mental Health Services Act emphasizes stigma and discrimination reduction. Researchers examined whether this effort changed the public perception of mental illness and the individual experience of stigma.

    Apr 24, 2013

  • a health insurance claim form and a silver pen

    Commentary

    Helping Obama—and Other Americans—Weigh Which Health Insurance Exchange to Pick

    Multistate plans are most likely to appeal to out-of-state students, interstate migrants, out-of-state workers, seasonal movers (e.g., “snowbirds”), and similar groups that require improved access to health care across state lines.

    Apr 1, 2013

  • nurse checking pulse

    Journal Article

    The Nursing Workforce in an Era of Health Care Reform

    As health care reforms emphasize prevention and introduce new models of care delivery, registered nurses will become even more important to addressing Americans' health care needs.

    Apr 1, 2013

  • News Release

    News Release

    Expanding Medicaid in Pennsylvania Would Sharply Increase Federal Revenue to State

    Expanding Medicaid in Pennsylvania under the Affordable Care Act would boost federal revenue to the state by more than $2 billion annually and provide 340,000 residents with health insurance.

    Mar 28, 2013

  • Pennsylvania state flag

    Report

    The Economic Impact of Medicaid Expansion on Pennsylvania

    If Pennsylvania opts into Medicaid expansion under the Affordable Care Act, more residents would have health coverage and the state would enjoy a positive economic effect. However, benefits would have a long-term cost, with uneven regional results.

    Mar 28, 2013

  • blue and pink pills

    Report

    Multistate Health Plans in the ACA's State Insurance Exchanges

    The ACA requires the government to work with insurance issuers to establish at least two multistate plans (MSPs) in each state's health insurance exchange. MSPs may be especially attractive to those interested in issuers that operate in multiple states, such as out-of-state students or temporary workers.

    Mar 20, 2013

  • pediatrician with patient and mother

    Testimony

    Efforts to Reform Physician Payment by Tying Payment to Performance

    Public and private sector purchasers are actively working to design value-based payment programs to achieve the goals of improved quality and more efficient use of health care resources. How these programs are designed is a complex undertaking and one that will determine the likelihood of their success.

    Feb 14, 2013

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