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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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Appendix Tables for Year-to-Year Variation in Small-Group Health Insurance Premiums (Data)
Linda J. Blumberg, John Holahan

This is an appendix to the brief, Year-to-Year Variation in Small-Group Health Insurance Premiums: Double-Digit Annual Increases Have Been Common Over the Past Decade. The brief can be found at http://www.urban.org/url.cfm?ID=413235

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

Year-to-Year Variation in Small-Group Health Insurance Premiums: Double-Digit Annual Increases Have Been Common Over the Past Decade (Policy Briefs/Timely Analysis of Health Policy Issues)
Linda J. Blumberg, John Holahan

In anticipation of next year's premium announcements and given some information already made public, concerns have surfaced about the potential for double-digit percent increases in nongroup and small-group health insurance premiums. This analysis shows that, although average annual increases in small-group premiums over the past 13 years averaged roughly 5.5 percent, double-digit average premium increases are common for states and large metropolitan areas. Large increases in one year are frequently followed by much smaller increases, or even decreases. This may be especially true as insurers and purchasers navigate the ACA's new insurance environment, moving toward a more stable equilibrium.

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

Factors that Influence Preventive Service Utilization among Children Covered by Medicaid and CHIP: Environmental Scan and Literature Review (Research Report)
Vanessa C. Forsberg, Rebecca Peters, Amanda I. Napoles, Arnav Shah, Christal Ramos, Kelly J. Devers

This environmental scan report compiles and assesses the available literature from the last 5 years on preventive health care services for child beneficiaries (including adolescents) in Medicaid and the Children's Health Insurance Program (CHIP). It addresses preventive service utilization patterns and barriers, cost and health outcomes associated with prevention, and activities designed to improve preventive service rates and outcomes. This report is intended to help inform the development and dissemination of resources for states to use in their efforts to increase the utilization of recommended preventive services by Medicaid and CHIP beneficiaries.

Posted to Web: September 17, 2014Publication Date: April 15, 2014

Factors that Influence Preventive Service Utilization among Adults Covered by Medicaid: Environmental Scan and Literature Review (Research Report)
Christal Ramos, Anna C. Spencer, Arnav Shah, Ashley Palmer, Vanessa C. Forsberg, Kelly J. Devers

This environmental scan report compiles and assesses the available literature from the last 5 years on preventive health care services for adult beneficiaries in Medicaid. It addresses preventive service utilization patterns and barriers, cost and health outcomes associated with prevention, and activities designed to improve preventive service rates and outcomes. This report is intended to help inform the development and dissemination of resources for states to use in their efforts to increase the utilization of recommended preventive services by Medicaid and CHIP beneficiaries.

Posted to Web: September 17, 2014Publication Date: April 15, 2014

Potential Medicaid Cost Savings from Maternity Care Based at a Freestanding Birth Center (Article)
Embry M. Howell, Ashley Palmer, Sarah Benatar, Bowen Garrett

Compared to usual obstetrical care, care by midwives at a birth center could reduce costs to the Medicaid program. This article examines whether such care reduces Medicaid costs for low income women using results from a prior study of maternal and infant outcomes at the Family Health and Birth Center in Washington, D.C. Costs to Medicaid are derived from birth center data and from national sources. Birth center care could save an average of $1,163 per birth. Policy makers should consider a larger role for midwives and birth centers in maternity care for low-risk pregnant women with Medicaid.

Posted to Web: September 17, 2014Publication Date: September 09, 2014

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