Health Policy Center
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Health Policy Update
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Changes in health insurance coverage caused by the COVID-19 recession
For some people, losing their job means losing their health coverage. Using our Health Insurance Policy Simulation Model, we project that 48 million people will live in families with a worker who experiences a COVID-19-related job loss in the last three quarters of 2020, with 10.1 million of those people losing health coverage tied to that job and 3.5 million becoming uninsured.
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Almost half of adults in families losing work during the pandemic avoided health care because of costs or COVID-19 concerns
Using new data from the first wave of the Urban Institute’s Coronavirus Tracking Survey, we found that 45.5 percent of adults in families losing work or work-related income reported unmet need for medical care in the family (because of costs) or avoidance of care (because of concerns about coronavirus exposure).
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Adults in families losing jobs during the pandemic also lost employer-sponsored health insurance
The recession brought by the COVID-19 pandemic is testing the health care safety net established by the Affordable Care Act (ACA). Our new findings suggest the ACA may be protecting adults who lose jobs from becoming uninsured, even as a challenge to the law before the Supreme Court would, if successful, place 20 million Americans at risk of becoming uninsured.
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Insurer insights into pandemic challenges, implications, and lessons learned
We interviewed 25 health insurers about their experiences during the pandemic, and we summarize their insights into what COVID-19 might mean for public and private insurance coverage, insurance premiums, and benefits going forward.
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Health insurance coverage declined for nonelderly Americans between 2017 and 2018, leaving nonexpansion states further behind
The number of uninsured nonelderly Americans increased by 500,000 between 2017 and 2018, despite a strong economy and accompanying increases in incomes and employer-sponsored insurance coverage. Recent research suggests that employer-sponsored coverage will decline during the COVID-19 recession, perhaps leaving millions more uninsured.
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How workers fared under the ACA
Many politicians, policymakers, and analysts have debated whether the ACA would have negative effects on the labor market, such as reducing employment, earnings, or hours worked. But our investigation of labor market outcomes through 2017 found that such adverse effects did not materialize.
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Investigating pathways from EITC expansion to maternal mental health
We find that earned income tax credit (EITC) expansions are associated with improved self-reported mental health for mothers, though the mechanisms through which EITC expansions improve mental health are different for mothers depending on their marital status.
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Kimberlyn Leary joins Urban as senior vice president
As the Urban Institute’s new senior vice president, Kimberlyn Leary will manage research and program development across the organization. Previously, she was an associate professor of psychology at the Harvard Medical School and directed the Enabling Change program at the Harvard T.H. Chan School of Public Health.
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