Health Policy Center
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Health Policy Update







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How does uninsurance vary among Asian American and Pacific Islander (AAPI) children?
The assumption that few AAPI children face elevated risks of uninsurance is unwarranted because disaggregated data show 2018–19 rates for Korean and Native Hawaiian/Pacific Islander children were more than twice those of Hmong, Indian, Laotian, and Indonesian children

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Uninsurance rates differ significantly among AAPI parents
By 2019, AAPI parents were less likely to be uninsured than parents in other racial or ethnic groups. But their overall low uninsurance rates hide large disparities by national origin and citizenship status.

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Strengthening long-term services and supports
Comparing three options for investing in home- and community-based services, Urban Institute researchers found enhanced funding could substantially increase service adequacy and increase and improve caregiver jobs, but these goals require active federal engagement and enforcement.

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Design of public option and capped provider price reforms
A public option and a strategy to cap payments made to health care providers by commercial insurers, used independently or in tandem, could provide viable insurance options and lower costs. But major design choices must be made with trade-offs in mind.

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Addressing knowledge gaps about the Marketplace will require targeted outreach and enrollment assistance


In spring 2021, fewer than half of uninsured adults reported having heard a lot or some about the Marketplaces, and fewer than a third reported having heard a lot or some about subsidies that make Marketplace coverage and care more affordable.


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Mutual accountability is the key to equity-oriented systems change
Funders and their grantees need to collaborate within a framework of explicit commitments, alignment with goals and capacities, and ways to ensure stakeholders are responsible to one another for fulfilling their promises.

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