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The U.S. health insurance model frequently costs more and provides less care than systems in other Western nations. RAND's health insurance research began in 1971 with the 15-year Health Insurance Experiment, the only community-based experimental study of how cost-sharing arrangements affect people’s use of health services, their quality of care, and their health status. Subsequent research has continued to inform the U.S. policy debate.

  • The federal government forms for applying for health coverage under the Affordable Care Act, photo by Jonathan Bachman/Reuters

    Commentary

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

    Jan 11, 2017

    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 hard to pass a replacement.

  • 20170113-HIE-retrospective

    Multimedia

    The RAND Health Insurance Experiment: A Retrospective at 40 Years

    Jan 13, 2017

    In June 2016, RAND hosted a two-day celebration to mark the 40th anniversary of the RAND Health Insurance Experiment (HIE), the largest, most comprehensive, evidence-based health policy study in U.S. history.

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