Policies for Action
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February Update
Reflecting on the work ahead during Black History Month
Black History Month is a time to reflect on and honor the contributions of African Americans and to examine past and present work to end structural racism and address its effects on the Black community. A new P4A Spark blog post explores implications for doing this work and highlights new projects led by Policies for Action researchers to help answer critical questions about racial equity.
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Read more.
Impacts of eviction on health care coverage and spending in NYC
The U.S. is facing a housing affordability crisis, making eviction a regular occurrence in the most vulnerable communities. But eviction’s effects on health and well-being are understudied. Researchers at New York University’s Wagner Graduate School of Public Service compared 2017 eviction records in New York City with New York State Medicaid claims and found evictions were associated with 63 percent higher odds of losing Medicaid coverage, fewer prescription fills, and lower odds of spending on health care. Among patients who did spend, average spending was 20 percent higher for those evicted.
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Read more.
Differences in utilization and costs in Medicaid and Marketplace plans
The increasing cost of antidiabetic medications in the U.S. have raised substantial concerns about the effects of drug affordability on diabetes care. But little rigorous evidence comparing the experiences of patients with diabetes across different types of insurance coverage exists. Investigators from Policies for Action’s research hub at Harvard University and Columbia University examined these differences in Colorado and found prescription drug use among adults with low incomes in 2014 and 2015 was higher, and drug costs were significantly lower for patients with Medicaid than for patients with subsidized Marketplace plans.
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Read more.
Community corner
COVID-19 has illuminated and exacerbated health inequities experienced by communities in the United States who have been historically marginalized based on race. These groups still lack equitable access to high-quality health care, including COVID-19 vaccines. In a new
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Health Affairs article, Policies for Action researchers Ruqaiijah Yearby and Jose Figueroa and their colleague, Brietta Clark, provide critical historical context and a detailed account of structural racism in health care policy, exploring its role in health care coverage, financing, and quality.
Low family income is associated with worse child academic achievement, but little is known about how health insurance expansions affect children’s achievement for those living in low-income households. George Wehby linked
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birth certificate data to standardized test scores for children in Iowa and provided strong evidence that the Affordable Care Act’s insurance expansions led to improvements in reading scores, particularly among children in households with mothers who had a high school education or less, in the third and fourth years after Iowa’s expansion. Plus:
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listen to Wehby discuss mask mandates and how health services research has changed because of the pandemic on Health Affairs’
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A Health Podyssey.
Upcoming conferences and events
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43rd Annual Fall Research Conference
Association for Public Policy Analysis & Management
March 27–29, 2022, Austin, T.X.
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11th Annual Conference of the American Society of Health Economists
American Society of Health Economists
June 27–30, 2022, Austin, T.X.
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