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Health and Health Care

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The Patient Protection and Affordable Care Act—health care reform—fundamentally changed health insurance and access to health care. Our researchers are unpacking the landmark law, studying the challenges of implementation, and using our Health Insurance Policy Simulation Model to estimate how its proposals will affect children, seniors, and families, as well as doctors, small businesses, and the national debt.

The Urban Institute also studies cost, coverage, and reform options for Medicare and Medicaid and analyzes trends and underlying causes of changes in health insurance coverage, access to care, and Americans’ use of health care services. Read more.

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Insights on Instability and Children's Development: Commentaries from Practitioners, Policymakers, and Researchers (Commentary)
Gina Adams

Concern is growing about the damage that instability can do to children's healthy development. However it has emerged separately across different domains, with little focus on the pervasive and interconnected nature of the issue or on possible cross-cutting policy solutions. In November 2013, the Urban Institute convened policymakers, practitioners, and researchers to discuss the implications of instability for children's development, as well as what we know, need to learn, and need to do across research, policy, and practice. This paper contains essays from some of the meeting participants; a companion report includes the insights from the conference.

Posted to Web: July 22, 2014Publication Date: July 22, 2014

Exploring Instability and Children's Well-Being: Insights from a Dialogue among Practitioners, Policymakers and Researchers (Research Report)
Gina Adams, Lisa Dubay

Concern is growing about the damage that instability can do to children's healthy development. However it has emerged separately across different domains, with little focus on the pervasive and interconnected nature of the issue or on possible cross-cutting policy solutions. This report presents the insights gleaned from a November 2013 convening of policymakers, practitioners, and researchers about the implications of stability and instability for children's development, as well as what we know, what we need to learn, and what we need to do across research, policy, and practice. A companion report includes essays from some of the meeting participants.

Posted to Web: July 22, 2014Publication Date: July 22, 2014

Halbig v Burwell: Potential Implications for ACA Coverage and Subsidies (Policy Briefs/Health Policy Briefs)
Linda J. Blumberg, John Holahan, Matthew Buettgens

A ruling from the U.S. Court of Appeals for the D.C. Circuit on Halbig v. Burwell is imminent. The plaintiff claims a phrase in the ACA prohibits residents of states where the federal government is administering the health insurance Marketplace from receiving subsidies for purchasing insurance. With 34 states having chosen to leave administration of their Marketplaces to the federal government, a decision for the plaintiff could have broad implications. In 2016, 7.3 million people in these states are estimated to receive federal subsidies totaling $36.1 billion, ranging up to $4.8 billion in Florida and $5.6 billion in Texas.

Posted to Web: July 17, 2014Publication Date: July 17, 2014

Development of a Model for the Valuation of Work Relative Value Units: Objective Service Time Task Status Report (Press Release)
Stephen Zuckerman, Robert A. Berenson, Additional Authors

This pilot project is part of the Centers for Medicare & Medicaid Services' efforts to address potentially misvalued services in the Medicare Physician Fee Schedule. It aims to develop a validation process for the fee schedule's relative value units for physician or nonphysician practitioner work. One of the project's key elements is the development of objective time estimates based on data from several physician practices, health systems, or other entities. This status report describes that task, including selection of services to be studied, identification and engagement of data collection sites, and development of data collection protocols and tools.

Posted to Web: July 16, 2014Publication Date: June 30, 2014

Understanding Older Drivers: An Examination of Medical Conditions, Medication Use, and Travel Behavior (Research Report)
Sandra Rosenbloom, Robert Santos

Almost 90% of people 65 and older are drivers. While older people are among the safest on the road they are more likely to use multiple medications which could interfere with driving safely. This report provides baseline information on the relationship between medical conditions, medication use, and the travel behavior of older drivers from two large national data bases: the 2009 National Household Travel Survey and the 2011 National Health and Aging Trends Study. We found that most older drivers take multiple medications and drive frequently but also self-regulate their behavior in important ways that reduce crash risk.

Posted to Web: July 15, 2014Publication Date: April 01, 2014

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