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RAND Analysis Compares Coverage and Spending Outcomes Under the President and Congress’ Health Reform Proposals

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Topics: Cost-effectiveness | Health Care Reform | Legislation (National) | Spending

Using the COMPARE microsimulation model, this RAND Corp. report compares President Obama’s February 22 health care proposal with Congress’ health care reform bills (HR 3590 and HR 3962).   The report estimates that, by 2019, the President’s proposal would insure an additional 30 million people—roughly the same as both Congressional bills.  In addition, relative to the Senate bill (HR 3590), the President’s proposal would reduce total government expenditures, increase utilization of insurance exchanges, increase federal subsidy expenditures, and raise personal health expenditures. 

From the report:

We estimate that the President’s proposal will reduce the number of uninsured by 30 million relative to the status quo, which is roughly similar to the numbers provided by White House analysts. The President’s proposal would result in about 1 million more people obtaining insurance through the nongroup or Exchange market than under the Senate bill. Total spending on Medicaid under the President’s proposal would be the same as under the Senate bill, and subsidy costs would be higher than under the Senate bill.

Full report: Rand Compare Analysis of President Obama’s Proposal for Health Reform (PDF | 123.02 KB)exit disclaimer small icon

Rand Corporation. (2010). Rand compare analysis of President Obama’s proposal for health reform.


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