Health Policy Center
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Health Policy Update







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Modernizing the Medicare Physician Fee Schedule
Urban Institute health policy researchers synthesize a series of publications examining misvaluation and structural design flaws in the Medicare Physician Fee Schedule and outline policy options to modernize physician payment.

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Changes in use of peer support service among adult Medicaid enrollees with behavioral health diagnoses, 2018 to 2023
Use of peer support services grew modestly by 2023 but remains very low in most states. Peer support for substance use treatment reached established levels in six states, while use for mental health stagnated.

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Principles for risk adjustment in integrated health plans for dual enrollees
Urban researchers identify gaps in risk adjustment for dual enrollees and propose four core principles to guide development of a new risk adjustment system under the proposed Delivering Unified Access to Lifesaving Services Act.

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Comparison of risk adjustment systems
Explore the differences between major risk adjustment systems used in the US health care system and identify gaps in risk adjustment for high-need populations, like dual enrollees.

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How Medicaid helps fund K–12 education
Medicaid provides support for certain health care services provided by public schools. Urban researchers examine federal Medicaid cuts and historical data on Medicaid’s role in school funding to offer insights to states and schools for moving forward.

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The Urban Institute 2025 Impact Report
Urban experts were go-to sources for analysis and technical assistance as advocates and litigators responded to the Centers for Medicare & Medicaid Services’ Marketplace Integrity and Affordability Rule. Read about this, and more, in the 2025 Impact Report.

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