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RAND Roybal Center for Health Policy Simulation

The mission of the RAND Roybal Center for Health Policy Simulation is to develop better models to understand the consequences of biomedical developments and social forces for health, health spending, and health care delivery.

Funded by the National Institute on Aging in 2004, this Center will build on a large body of research at RAND, including the Future Elderly Model (FEM), a multi-year effort to identify and forecast the consequences of medical breakthroughs over the next 30 years. The FEM has already begun to shape the national discussion about the role medical technology will play in explaining health and health care spending.

Featured Research

Modeling the Health and Medical Care Spending of the Future Elderly

Medical Technology

Medical innovations will improve health and extend life, but they will probably increase, not decrease, Medicare spending. Better prevention and the elimination of obesity could save Medicare money and improve health.

Research Areas and Projects

Understanding the relationship between health status and lifetime spending

  • The Future Elderly Model
  • Rising Medicare Expenditures for the Oldest Medicare Beneficiaries
  • The Lifetime Burden of Chronic Disease Among the Elderly
  • Functional Status, Health, and Health Care Costs among the Elderly
  • Health and Medical Spending of the Near Elderly
  • The Consequences of Obesity for Older Americans

Prescription drugs and Medicare Part D

  • Welfare Analysis of Medicare Part D
  • The Value of Pharmaceutical Innovations for the Elderly: The Case of Antidepressants
  • The Economic Impact of Pharmacogenetics

Protecting the vulnerable elderly

  • Nursing Home Workforce Dynamics and Quality of Care
  • Eligibility for Comprehensive End of Life Services: Developing and Piloting a Method
  • Adverse Selection, Population Aging, and the Market for Supplementary Health Insurance
  • Tools for Efficient Allocation of Fall-Prevention Resources
  • Who Will be Available to Support the Elderly? Welfare-State Policy, Fertility, and Population Age Structure
  • Health Impacts of Retirement

Research Products

RAND Roybal Center for Health Policy Simulation has a variety of policy tools / simulation tools, funded grants, publications, and presentations available.

Recent publications

Joyce GF, Goldman DP, Karaca-Mandic P, Zheng Y. “Pharmacy Benefit Caps and the Chronically Ill”, Health Affairs, 26(5), 2007: p.1333–1344.

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