Health Care Access

commentary

Can the Health Insurance System Handle Massive Medicaid Reductions?

For many who have or will soon lose Medicaid as monthly redeterminations restart, and for millions more who could lose insurance due to other factors like job loss, three recent policy developments might increase the chances that they find new health care coverage.

Christine Eibner @Chrissyeibner

essay

Mental Health First Aid: Training People to Help Others

An innovative program trains and empowers people to not look away from those experiencing mental illness, but to listen to them, reassure them, and encourage them to get help. Most trainees of the program in New York City were still using what they had learned five years later.

commentary

A Potential Backslide in Mental Health Care for Millions of Americans

The expiration of the COVID-19 Public Health Emergency declaration will have broad-sweeping effects, and one of the most significant is little known: It could begin undoing the expansion of mental health care access for millions of Americans.

Ryan K. McBain @ryankmcbain

commentary

Gender Biases in Health Care: Listen to Women About Their Own Health

More and more information, evidence, and personal stories are emerging suggesting women are not being listened to or believed by health care professionals about their symptoms of physical illness. There is ongoing work in the United Kingdom to improve and integrate women's health services, which creates hope for improvements.

Lucy Hocking

commentary

Informing the Debate About Telemedicine Reimbursement: What Do We Need to Know?

At the start of the COVID-19 pandemic, U.S. payers and policymakers broadly expanded payment for telemedicine services and relaxed many regulations. To decide the long-term fate of pandemic-era temporary telemedicine, policymakers should consider the effects of telemedicine on health care spending, patient outcomes, and health equity.

Ateev Mehrotra, Lori Uscher-Pines

q&a

Abortion After the Dobbs Decision: Q&A with RAND Researchers

The overturning of Roe v. Wade is likely to disproportionately affect vulnerable populations, including U.S. service women and pregnant women with substance use disorders. And abortion misinformation will likely increase. RAND researchers discuss these issues and potential policy responses.

commentary

Tele-Palliative Care Among Underserved Patients: Considerations for Future Research to Ensure Equity for All Patients

Underserved patients have been historically marginalized in health care and may experience extensive barriers to palliative care. Telehealth may be a particularly promising mode of palliative care by engaging patients across long distances and facilitating access to existing palliative care resources.

Julia Bandini, Natalie Ernecoff, et al.

commentary

Telemedicine Abortion? It's Not as Easy as It Sounds

The Supreme Court decision to overturn Roe v. Wade has providers and health advocates strategizing about how to provide more abortions where it is still legal. Expanding virtual medical visits is one popular idea. Policymakers and clinics could take steps to make telemedicine better understood, easier to use, and more equitable.

Zachary Predmore @zspredmore, Julia Rollison @Julia_Rollison

commentary

In Search of an Equity Lens: A Physician's Journey

Patient health outcomes, communication with providers, and overall patient satisfaction improve when patients and providers share a similar background. Further, diverse work environments may positively impact health care provider job satisfaction. Increasing diversity in health care work settings is a first important step that could help to increase equity and inclusion in these environments.

Mahshid Abir

commentary

Diversity, Equality, and Inclusion in Health Care Innovation: Considerations for Future Research, Policy, and Practice

For health care innovations to have the fairest and broadest possible benefit to society, efforts could be made to attend to all stages of the innovation pathway to identify opportunities to mitigate biases through diversity, equality, and inclusion.

Robert J. Romanelli, Sonja Marjanovic @SonjaCambs

commentary

Will the New 988 Hotline Be a Game Changer for Mental Health or a Missed Opportunity?

Someone dies from suicide in the United States every 11 minutes, a rate that has increased almost 30 percent since 2000. The 988 mental health hotline will launch on July 16, but states need to clear significant hurdles: funding the expanded crisis response system and making sure people know it's available.

Ryan K. McBain @ryankmcbain, Stephanie Brooks Holliday

commentary

The Importance of Getting the Affordable Part of the Affordable Care Act Right

The ACA's expansion of Medicaid and the marketplaces that sell subsidized policies have helped decrease the uninsured rate. Research on being underinsured shows that affordability at the point of care is central to keeping people healthy. For example, a new study found a significant relationship between having health insurance and better asthma control.

Petra W. Rasmussen

blog

RAND's New President, the U.S. Foreign Service, Transportation Equity: RAND Weekly Recap

This weekly recap focuses on RAND's next president and CEO, Jason Matheny, insights into Americans' views on diplomacy and diplomats, solutions for transportation equity, and more.

blog

Insights on Russia's War in Ukraine, Global Citizenship, Vaccination Equity: RAND Weekly Recap

This weekly recap focuses on Russia's war on Ukraine, medication treatment for patients with opioid use disorder, promoting global citizenship in America, and more.

blog

Preventing Civilian Casualties, Drinking During the Pandemic, Vaccination Equity: RAND Weekly Recap

This weekly recap focuses on how to reform the Pentagon’s policies on civilian casualties, secondary school principals’ well-being, alcohol use in the COVID-19 era, and more.