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The U.S. health care policy landscape is poised for great change. Extensive RAND research offers insights about the likely impact of repealing or revising the ACA along key dimensions, including Medicaid, the individual mandate, effects on employers, tax subsidies, changing rating regulations, and essential health benefits.
The Patient Protection and Affordable Care Act (ACA) represents one of the most sweeping reforms of the U.S. health care system ever enacted. RAND’s work on the ACA has focused on four key policy areas: costs and coverage, individual and small business marketplaces, Medicaid expansion, and payment reform and new models of care.
RAND work has examined issues facing the largest group of health care safety net providers, both during and before the pandemic: federally qualified community health centers (FQHCs) – also known as community health centers. These are federally-funded health care providers that offer primary care to vulnerable and low-income U.S. residents ...
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.
Health care systems may be financed in various ways, including through government funding, taxation, out-of-pocket payments, private insurance, and donations or voluntary aid. RAND research explores the effects of corporate and government health care financing policies on such groups as patients, businesses, hospitals, and physician-providers.
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 ...
Implications for Today’s Health Care Reform Discussion. Today’s health care environment differs in fundamental ways from the one in which the HIE took place. The science of medicine has changed across all dimensions. Managed care has become more prominent, as has prescription drug use.
As a large employer in the United States, the Department of Defense faces significant challenges ensuring that all members of the military, as well as their families, receive appropriate health care for everything from general health and well-being to specialized clinical care for deployment related injuries such as amputations, chemically induced illnesses, and posttraumatic stress disorder.
A Protocol for Ongoing Systematic Scoping Reviews of World Trade Center Health Research. This paper presents a protocol for ongoing scoping reviews of WTC-related health research. Our review will support planning activities by Program policymakers and stakeholders as they work to achieve the Program's research goals.
Medicare pays for more health care than any other insurer in the United States. It accounts for roughly 20 percent of all U.S. health care spending. Over four decades, RAND’s research has shaped and refined Medicare policies. Highlights of this extensive body of work include: