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Report

Experiences of Medicaid Programs and Health Centers in Implementing Telehealth

Mar 8, 2019

Safety-net providers underuse telehealth due to a range of policy, organizational, and logistical barriers. Examining the use of telehealth by federal programs in seven states, researchers identified common themes and considerations for policymakers.
Research Brief

How to Transform Mental Health Care in the United States

Jan 11, 2021

With scientific advances, Medicaid expansion, and political consensus on the importance of improving mental health, the time is ripe for transforming the U.S. mental health system. This will mean structural reforms that address patients' challenges in finding, accessing, and receiving high-quality and timely care.

Explore Medicaid

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
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
Blog

Modeling the Effects of the Affordable Care Act in Arkansas

The Medicaid expansion under the ACA will result in about 400,000 people newly insured in Arkansas by 2016. Of these, about 190,000 would be newly enrolled in Medicaid and the rest would be newly insured through the new insurance exchanges. The state is likely to save about $67 million for reduced uncompensated care costs for the uninsured.

Jan 7, 2013
Report

The Economic Impact of the ACA on Arkansas

For Arkansas, the Affordable Care Act will result in an increase in GDP of around $550 million and the creation of about 6,200 jobs. The new law will also increase health insurance coverage by 400,000 newly insured individuals.

Jan 3, 2013
Journal Article

The COMPARE Microsimulation Model and the U.S. Affordable Care Act

In anticipation of upcoming health care legislation, the RAND Corporation developed a microsimulation model to forecast the responses of individuals, families and firms to such legislation.

Jan 1, 2013
Journal Article

Health Information Technology Adoption Measurement Framework: Overall Guidance for HCIA Awardees

The Centers for Medicare & Medicaid Services (CMS)/Center for Medicare and Medicaid Innovation (CMMI) requested that RAND assist their HCIA Awardees in developing health information technology (HIT) adoption measures.

Jan 1, 2013
Commentary

Health Care Costs Must Be Curbed, No Matter Who Wins

Regardless of which candidate wins in November, and regardless of whether “Obamacare” is repealed, amended, or defended by the next Congress, the next president will have to contend with the spiraling cost of health care in the United States—a problem that is growing more acute with each passing year, writes Arthur Kellermann.

Oct 17, 2012
Blog

Caring for the Uninsured: What Role Do Emergency Rooms Play?

Absent from the discussion about health care during the first debate between President Barack Obama and Governor Mitt Romney was any mention of one of the main providers of care for America's uninsured: emergency rooms. What does research tell us about the use of ERs and the relevant implications on health care access and cost?

Oct 9, 2012
Journal Article

Development of Items to Assess Patients' Health Literacy Experiences at Hospitals for the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospital Survey

This study provides support for the measurement properties of the HCAHPS Item Set for Addressing Health Literacy.

Sep 1, 2012
Journal Article

A Conceptual Framework and Protocol for Defining Clinical Decision Support Objectives Applicable to Medical Specialties

This article describes a conceptual framework and protocol that combines evidence review with expert opinion, using a modified Delphi expert panel process, to elicit clinically meaningful objectives for clinical decision support directly from specialists.

Sep 1, 2012
Journal Article

Development and Evaluation of CAHPS® Survey Items Assessing How Well Healthcare Providers Address Health Literacy

This study provides support for reliability and validity of the CAHPS Item Set for Addressing Health Literacy.

Sep 1, 2012
Journal Article

The Relationship Between Perceived Discrimination and Patient Experiences with Health Care

Perceptions of discrimination based on race/ethnicity and Medicaid insurance are prevalent and are associated with substantially lower CAHPS reports and ratings of care. Practices must develop and implement strategies to reduce perceived discrimination among patients.

Sep 1, 2012
Journal Article

Impact of a Private Health Insurance Mandate on Public Sector Autism Service Use in Pennsylvania

Many states have implemented regulations (commonly referred to as waivers) to increase access to publicly insured services for autism spectrum disorders (ASD).

Aug 1, 2012
Journal Article

Fixing a Broken System: The Story of Autism, One State at a Time

This commentary presents an overview of the issues associated with how health plans and public Medicaid systems should share in the costs of assessing and treating children with autism.

Aug 1, 2012
Journal Article

Unmet Eye Care Needs Among U.S. 5th-Grade Students

Policies targeting socioeconomically disadvantaged groups and those without insurance may be needed to reduce disparities in access to appropriate eye care.

Jul 1, 2012
Commentary

Be Hungry or Be Sick? Proposed Medi-Cal Co-Pay Could Force the Choice for Many

The $15 co-pay a mother is expected to cover represents half of a full week's food costs under the U.S. Department of Agriculture's "thrifty" food plan for her 6-year-old, write Art Kellermann and Robin Weinick.

Jun 20, 2012
Blog

Attempts by States to Save Money by Locking Medicaid Enrollees out of the ED Are Likely to Backfire

A better solution than restricting emergency department use by Medicaid enrollees is to reverse what for many years has been a trend of shrinking access to primary care for Medicaid beneficiaries.

May 21, 2012
Commentary

Emergency Departments, Medicaid Costs, and Access to Primary Care—Understanding the Link

The fact that many ED (emergency department) visits could be managed in primary care settings does not mean that such care is available, write Arthur L. Kellermann and Robin M. Weinick.

May 18, 2012
Journal Article

Anti-inflammatory Medication Adherence, Healthcare Utilization and Expenditures Among Medicaid and Children's Health Insurance Program Enrollees with Asthma

Underuse of controller therapy among Medicaid-enrolled children is common and leads to more emergency department (ED) visits and hospitalizations.

May 1, 2012
Journal Article

Concurrent Mental Health Therapy Among Medicaid-enrolled Youth Starting Antipsychotic Medications

The authors of this study examined the extent to which youths being prescribed antipsychotic medications were receiving concurrent mental health therapy.

Apr 1, 2012

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