LEADER 00000cam  2200697 i 4500 
001    ocn895271884 
003    OCoLC 
005    20170927053500.6 
006    m     o  d         
007    cr cn||||||||| 
008    140905s2013    caua    obs   000 0 eng   
016 7  101640721|2DNLM 
019    859335280|a875927906|a901548642|a972160793 
020    9780833083654 
020    0833083651 
035    (OCoLC)895271884|z(OCoLC)859335280|z(OCoLC)875927906
       |z(OCoLC)901548642|z(OCoLC)972160793 
037    22573/ctt4cxz3n|bJSTOR 
040    NLM|beng|erda|epn|cNLM|dJSTOR|dUPM|dKCP|dOCLCF|dYDXCP|dTEF
       |dOCLCQ|dOCLCO|dCUS 
042    pcc 
043    n-us--- 
049    CKEA 
050  4 RA395.A3 
060 00 W 74 AA1 
082 04 362.10973|223 
100 1  Nowak, Sarah,|eauthor. 
245 10 Effects of the Affordable Care Act on consumer health care
       spending and risk of catastrophic health costs /|cSarah A.
       Nowak, Christine Eibner, David M. Adamson, Evan Saltzman ;
       sponsored by the Commonwealth Fund. 
264  1 Santa Monica, CA :|bRAND Corporation,|c[2013] 
300    1 online resource (1 PDF file (xiii, 46 pages)) :
       |billustrations. 
336    text|btxt|2rdacontent 
337    computer|bc|2rdamedia 
338    online resource|bcr|2rdacarrier 
490 1  Research report ;|vRR-383-CMF 
500    Title from PDF title page. 
504    Includes bibliographical references. 
505 0  Introduction : insurance transitions and consumer health 
       care spending under the Affordable Care Act - Results : 
       individual health care spending under the ACA - Two case 
       studies : Texas and Florida - Assumptions and limitations 
       - Conclusions - Appendix : Overview of the COMPARE model. 
520 3  This study examines the likely effects of the Affordable 
       Care Act (ACA) on average annual consumer health care 
       spending and the risk of catastrophic medical costs for 
       the United States overall and in two large states that 
       have decided not to expand their Medicaid programs (Texas 
       and Florida). The ACA will have varied impacts on 
       individuals' and families' spending on health care, 
       depending on income level and on estimated 2016 insurance 
       status without the ACA. The authors find that average out-
       of-pocket spending is expected to decrease for all groups 
       considered in the analysis, although decreases in out-of-
       pocket spending will be largest for those who would 
       otherwise be uninsured. People who would otherwise be 
       uninsured who transition to the individual market under 
       the ACA will have higher total health care spending on 
       average after implementation of the ACA because they will 
       now incur the cost of health insurance premiums. The 
       authors also find that risk of catastrophic health care 
       spending will decrease for individuals of all income 
       levels for the insurance transitions considered; decreases
       will be greatest for those at the lowest income levels. 
       Case studies found that in Texas and Florida, Medicaid 
       expansion would substantially reduce out-of-pocket and 
       total health care spending for those with incomes below 
       100 percent of the federal poverty level, compared with a 
       scenario in which the ACA is implemented without Medicaid 
       expansion. Expansion would reduce the risk of high medical
       spending for those covered under Medicaid who would remain
       uninsured without expansion. 
588 0  Version viewed October 24, 2014. 
610 10 United States.|tPatient Protection and Affordable Care 
       Act. 
630 07 Patient Protection and Affordable Care Act (United States)
       |2fast|0(OCoLC)fst01916081 
650  0 Health care reform|xEconomic aspects|zUnited States. 
650  7 MEDICAL|xMedicaid & Medicare.|2bisacsh 
650  7 Health care reform|xEconomic aspects.|2fast
       |0(OCoLC)fst00952853 
650 12 Health Expenditures|xtrends. 
651  2 United States. 
650 22 Health Care Reform. 
650 22 Insurance, Health. 
650 22 Catastrophic Illness|xeconomics. 
650 22 Medicaid. 
651  7 United States.|2fast|0(OCoLC)fst01204155 
655  2 Statistics. 
700 1  Eibner, Christine,|eauthor. 
700 1  Adamson, David M.,|eauthor. 
700 1  Saltzman, Evan,|eauthor. 
710 2  Commonwealth Fund,|esponsoring body. 
710 2  Rand Corporation,|eissuing body. 
776 08 |iPrint version:|tEffects of the Affordable Care Act on 
       consumer health care spending and risk of catastrophic 
       health costs|w(OCoLC)859335280 
830  0 Research report (Rand Corporation) ;|vRR-383-CMF. 
914    ocn895271884 
994    92|bCKE