Health Policy Center
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Health Policy Update







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Examining selected health provisions in the Inflation Reduction Act
As Congress considers passage of the Inflation Reduction Act of 2022, Urban looks at several legislative provisions that would affect health care, including extension of the enhanced premium tax credits and drug coverage.

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What groups would be most affected if the American Rescue Plan Act’s (ARPA) premium tax credits (PTCs) expire?
Without an extension of the enhanced PTCs, 3.1 million more people will be uninsured, and the non-Hispanic Black population, young adults, and low-income groups will experience the largest coverage losses.

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Forecasting women’s health care coverage losses if the ARPA’s PTCs expire in 2023
About 850,000 additional adult women of reproductive age will be uninsured in 2023 if enhanced credits expire. Uninsured women are at higher risk of an unintended pregnancy—and many could lose coverage in states with restrictions on abortion access.

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Capping Medicare Part D spending at $2,000: Who would it help and how much?
In 2019, a $2,000 annual spending cap would have saved Medicare Part D enrollees with high out-of-pocket drug spending $900 on average without substantially raising program costs.

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Opportunities to improve data interoperability and integration to support value-based care
The federal government could do more to hold electronic health record developers accountable for data integration. And payment reform could incentivize data sharing and infrastructure development.

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Many adults with lower income prefer monthly child tax credit (CTC) payments
New data show 45 percent of nonelderly adults living with children preferred the advance CTC payments, whereas 27 percent wanted a single payment.
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Lack of awareness and confusion over eligibility caused some families to miss out.

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