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.
Following Medicaid expansion, non safety-net hospitals experienced a greater percentage increase in Medicaid stays than did safety-net hospitals, which may reflect patient choice or a crowd-out of private insurance.
Among Medicaid recipients, high-risk prescribing of opioids occurred in 39.4% of episodes. Four characteristics -- Older age, rural county of residence, white race, and major depression diagnosis -- were associated with higher rates of all types of high-risk prescribing.
Proposals to repeal or replace the federal Affordable Care Act would likely increase the demand for service in the Veterans Affairs medical system, while also increasing the number of veterans who have no insurance coverage at all.
The American Health Care Act would increase uninsurance among veterans and demand for Department of Veterans Affairs care by a greater margin than simply returning to pre–Affordable Care Act levels of coverage.
Recent congressional proposals to repeal and replace the Affordable Care Act would increase the number of uninsured nonelderly veterans and further increase demand for VA health care. The effects would vary across states, but the largest impacts would be felt in states that expanded Medicaid.
The average American's lifetime risk of using a nursing home is substantially greater than previous research has suggested. Among persons age 57 to 61, 56 percent will stay in a nursing home at least one night during their lifetime.
Workers' compensation fraud costs insurers and businesses billions of dollars each year nationwide. This report focuses on the intentional manipulation of rules and procedures by providers of health care services and supplies.
Medicaid enrollees are less likely than those with private insurance to see a dermatologist or receive care for a skin condition, suggesting that efforts need to be made to increase access to skin specialists.
RAND researchers examined stakeholder experiences with an Affordable Care Act provision that qualifying providers of primary care services participating in the Medicaid program would receive enhanced federal payments for providing certain services.
Analysis of prescribing habits for treatment of schizophrenia suggests that some clinicians may underprescribe clozapine and overprescribe multiple antipsychotics; addressing such inconsistencies with the evidence base could improve care.
This analysis of three options to reform health care payment in Oregon (two state-based plans that would ensure coverage for all state residents and a state-sponsored plan offered in Oregon's nongroup market) found benefits and trade-offs for each.
Federal health care reform had just begun in 2013 when Oregon authorized a study to improve how the state pays for health care. A comparison of the projected impacts and feasibility of four options can help Oregon's stakeholders choose the option that best suits their needs.
Uninsured individuals who knew more about health insurance and finance were more likely to gain coverage under the ACA. Policies and programs aiming to reduce the numbers of uninsured should consider the financial literacy and health insurance knowledge of the groups they are trying to reach.