Health Policy Center
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Health Policy Update
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Building on the ACA to achieve universal coverage
Urban researchers propose eight incremental reforms that would expand upon the Affordable Care Act (ACA). These policy changes would increase insurance coverage, improve affordability, and contain health care costs.
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Estimated 10-year spending effects of the DUALS Act of 2024
Federal spending on individuals dually enrolled in Medicare and Medicaid would increase by $41 billion over the next decade under the Delivering Unified Access to Lifesaving Services (DUALS) Act of 2024.
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Unmet subclinical mental health care demand and treatment access barriers among insured adults
To close access gaps, policies can expand affordable, person-centered care options that align with people’s preferences and symptom severity, especially for younger adults with Medicaid.
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JAMA Health Forum: Potential factors associated with commercial-to-Medicare relative prices at the substate level
Hospital and professional health care service prices negotiated with commercial payers vary significantly within and across states. High health system concentration is positively associated with higher hospital prices, whereas insurer concentration is negatively associated with prices.
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Rural hospital revenue could drop by $87 billion over 10 years because of the reconciliation bill and expiring enhanced premium tax credits (PTCs)
Provisions in the bill and expiration of enhanced PTCs could cause rural hospitals to lose $87 billion in revenue and face $23 billion in additional demand for uncompensated care between 2025 and 2034.
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