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Report

Private Health Insurance Exchanges: Early Evidence and Implications for the Future

May 9, 2016

To date, enrollment in the private health insurance exchanges is low, and there is not enough evidence to determine whether they will become prominent in the insurance market and how they will affect employers and their employees.
Report

How Do Consumers Make Choices in ACA Marketplaces?

Jun 28, 2016

Consumers have access to compare a variety of health insurance plans before selecting the one that best suits their needs. But the task can be complicated by difficulty understanding health insurance jargon, poor numeracy, inadequate decision-support tools, and too many choices.

Explore Health Insurance Markets

Commentary

Repeal-and-Delay Would Make Budget Neutrality for ACA Replacement Difficult

As Congress considers repealing and replacing the Affordable Care Act it will need to consider how federal budget scoring can affect the fate of legislation. Depending on the ultimate cost of a replacement, finding enough savings to offset costs while maintaining budget neutrality could make it difficult to pass a replacement.

Jan 11, 2017
Commentary

Insuring Younger Adults Through the ACA's Marketplaces: Options to Expand Enrollment

Whether or not the Affordable Care Act is repealed, having young adults participate in the individual health insurance market remains critical to achieving affordable premiums for everyone.

Dec 16, 2016
Journal Article

Journal Article

Donald Trump's Health Care Reform Proposals: Anticipated Effects on Insurance Coverage, Out-of-Pocket Costs, and the Federal Deficit

The Trump health care proposal would decrease the number of insured and increase consumer health spending among those with marketplace insurance relative to current law. The policies would also increase the federal deficit by varying amounts.

Nov 4, 2016
Journal Article

Journal Article

Hillary Clinton's Health Care Reform Proposals: Anticipated Effects on Insurance Coverage, Out-of-Pocket Costs, and the Federal Deficit

The Clinton health care proposal would increase the number of insured individuals and decrease consumers' health spending relative to current law. However, the policies with the largest coverage gains also increase the federal deficit the most.

Nov 4, 2016
Q&A;

Estimating the Impacts of the Trump and Clinton Health Plans

Donald Trump wants to repeal and replace the Affordable Care Act. Hillary Clinton wants to maintain and modify it. How could each proposal impact coverage, out-of-pocket costs, and the deficit?

Sep 23, 2016
Report

Assessing the Role of State and Local Public Health in Outreach and Enrollment for Expanded Coverage: A Case Study on Houston, Texas

Part of a series highlighting innovative models and best practices for local health departments' involvement in Patient Protection and Affordable Care Act outreach and enrollment, this brief reports on a case study on Houston, Texas.

Jul 8, 2016
Report

Assessing the Role of State and Local Public Health in Outreach and Enrollment for Expanded Coverage: A Case Study on Tacoma–Pierce County, Washington

Part of a series on innovative models and best practices for local health departments' involvement in Patient Protection and Affordable Care Act outreach and enrollment, this report summarizes a case study on Tacoma--Pierce County, Washington.

Jul 8, 2016
Report

Assessing the Role of State and Local Public Health in Outreach and Enrollment for Expanded Coverage: A Case Study on Boston and Massachusetts

Part of a series highlighting innovative models and best practices for local health departments' involvement in Patient Protection and Affordable Care Act outreach and enrollment, this report describes a case study on Boston and Massachusetts.

Jul 8, 2016
Report

Assessing the Role of State and Local Public Health in Outreach and Enrollment for Expanded Coverage: A Case Study on Eagle, Garfield, and Pitkin Counties, Colorado

Part of a series highlighting innovative models and best practices for local health departments' involvement in Patient Protection and Affordable Care Act outreach and enrollment, this report is a case study on three Colorado counties.

Jul 8, 2016
Report

Assessing the Role of State and Local Public Health in Outreach and Enrollment for Expanded Coverage: A Case Study on New Orleans, Louisiana

Part of a series highlighting innovative models and best practices for local health departments' involvement in Patient Protection and Affordable Care Act outreach and enrollment, this report describes a case study on New Orleans, Louisiana.

Jul 8, 2016
Report

Assessing the Role of State and Local Public Health in Outreach and Enrollment for Expanded Coverage: A Case Study on Illinois

Part of a series highlighting innovative models and best practices for local health departments' involvement in Patient Protection and Affordable Care Act outreach and enrollment, this brief reports on a case study on Illinois.

Jul 8, 2016
Report

Assessing the Role of State and Local Public Health in Outreach and Enrollment for Expanded Coverage: Seven Case Studies from Local and State Health Departments

This report summarizes seven case studies to highlight innovative models and best practices that leverage local health department efforts in outreach and health insurance enrollment activities tied to the Patient Protection and Affordable Care Act.

Jul 8, 2016
Report

Assessing the Role of State and Local Public Health in Outreach and Enrollment for Expanded Coverage: A Case Study on West Virginia

Part of a series highlighting innovative models and best practices for local health departments' involvement in Patient Protection and Affordable Care Act outreach and enrollment, this report describes a case study on West Virginia.

Jul 8, 2016
Report

RAND Behavioral Finance Webinar: The Complexity of Health Plan Choice

The research looks at health insurance plans chosen by employees at a Fortune 500 company once they were allowed to configure their own plans.

May 18, 2016
Report

Policy Options for Covering High-Cost Cures

Strategic behavior by health insurers could unravel the market for cures for chronic diseases. The cost of these cures is front-loaded, but the benefits build up over time. Thus, insurers might try to delay treatment or avoid patients who need it, in the hope that they change insurers.

May 3, 2016
Commentary

Modifying the ACA's Family Subsidy Rules to Help Ensure Affordability

The ACA encourages workers to retain employer coverage by restricting their eligibility for marketplace subsidies. Modifying the policy could help 700,000 people gain coverage and lower spending for 1.6 million who are insured but face high health care costs.

Jan 12, 2016
Commentary

What Happens If the ACA's Tax Credits Are Replaced with Premium Support?

As policymakers consider alternatives to reduce the federal government's financial burden from providing subsidies under the ACA, they should consider the consequences for enrollees. Existing premium-support models yield considerable savings for the federal government but could create age and income disparities in coverage.

Nov 24, 2015
Commentary

Insurance Enrollment Holds Steady in Advance of the 2016 Open Enrollment Period

Since September 2013, the number of people with health insurance coverage has increased by 16.6 million. But since the second ACA open enrollment period in February 2015, the number of people with coverage has remained relatively flat. The third open enrollment period began on November 1. Whether the number of uninsured will continue to decline remains an open question.

Nov 12, 2015

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