Health Policy Center
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Health Policy Update
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Eligibility cliff on Affordable Care Act (ACA) tax credits would make health care unaffordable for middle-class families
Currently, the premium tax credit (PTC) phases out gradually as income grows. If Congress doesn’t act to extend PTC enhancements, people earning a bit over $60,000 would see their subsidy zero out all at once.
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Assessing Marketplace coverage for parents and children, 2019–25
Marketplace plans have become a critical part of the health insurance landscape for families with children, particularly for parents in states that have not adopted the ACA’s Medicaid expansion.
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Health care for the child care workforce
Many child care workers lack affordable health coverage. In DC,
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HealthCare4ChildCare (HC4CC) offers free or low-cost insurance for them and their family members. Urban researchers look at HC4CC’s first two years and what’s next for the program.
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Exploring artificial intelligence (AI) and automation in Medicaid
Urban researchers identify where and how Medicaid programs are using AI and automation, which states are ahead of the curve, and how transparency and monitoring can improve as AI systems continue to proliferate.
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Outdoor workers at risk
About 1 in 5 US workers are in occupations that entail regular outdoor exposure. Yet protections for outdoor workers remain uneven across states, and most workers lack protections against increasingly common environmental exposures.
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The jury is still out on Individual Coverage Health Reimbursement Arrangements (ICHRAs)
ICHRAs were designed to let employees use employer pretax dollars to purchase their own insurance. But take-up has been small and the effects uncertain. Urban experts explore the ICHRAs’ pros and cons and potential next steps.
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Reimagining research for systems change
In many cities, research remains disconnected from the communities it seeks to help—often reinforcing the very inequities it aims to address. Learn how research can be realigned to build trust, shift power, and support reparative action.
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