Health Policy Center
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Health Policy Update
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How officials in 11 states are preparing for the biggest coverage event since the Affordable Care Act
Once the public health emergency ends, up to 16 million Medicaid enrollees could be disenrolled. State officials are working to overcome several challenges, including lack of lead time, workload and staffing challenges, lack of data, and potential technology glitches.
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What will happen to Medicaid enrollees’ health coverage after the public health emergency?
We project up to 16 million people will lose Medicaid coverage over the 14 months after the end of the pandemic. But states can take steps to minimize unnecessary disenrollment and help those losing Medicaid enroll in other coverage.
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Bolstered by recovery legislation, the health insurance safety net prevented a rise in uninsurance between 2019 and 2021
Uninsurance among nonelderly adults remained flat between early 2019 and early 2021, and gains in public coverage offset estimated private coverage losses. But without additional policy action, uninsurance rates could rise again.
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Key aspects of shared identity between patients and their usual health care providers
Black adults were less likely than white adults to report being the same race as their health care providers (22.2 percent versus 73.8 percent). And fewer than 1 in 4 Hispanic/Latinx adults reported racial, ethnic, and language concordance with their usual providers.
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What do providers and patients think about labor and delivery (L&D) unit closures in rural New Hampshire?
Financial challenges and quality and safety concerns were commonly cited reasons for L&D unit closures. Maintaining prenatal care in the community and third-party oversight of closures could improve women's pregnancy and delivery experiences following closures.
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Centering racial equity and community voice to improve research
A webinar explored the structure and evolution of a community advisory board launched in 2020 to identify ways to center racial equity and community voice in research for a project on Medicaid and health equity.
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