This paper examines the impact of two public option proposals and a capped rate policy on household and employer health care spending. The first policy would introduce the public option in the nongroup market. The second policy would extend the public option to the nongroup and employer markets, and the third policy would cap payment rates for all insurers and all enrollees. For each policy, we assume provider

October 20, 2021
Brief
 

This toolkit was created for researchers interested in community-engaged surveys. It focuses on how to incorporate community-engaged methods into survey research and provides examples of projects across the Urban Institute that have used community-engaged methods in surveys. This resource also provides guidance on research questions and contextualization; question testing; survey implementation; and analysis,

October 19, 2021
Brief
 

The key to effectively engaging communities in research is building strong partnerships. This toolkit is intended for researchers interested in finding and building relationships with partners to facilitate community-engaged research. This toolkit contains actionable information on why building equitable and sustainable partnerships is important, how to find and evaluate potential partners, and what practices

October 19, 2021
Brief
 

Youth engagement is building relationships between young people and adults through intentional, inclusive, and mutually beneficial interactions. A project can operationalize youth engagement in various ways. This toolkit shares some ideas and considerations that will help to strategically and safely incorporate young people into a project. Key features of this component are a snapshot of the benefits of youth

October 19, 2021
Brief
 

The Urban Institute created a guidebook that covers different topics in community-engaged work to aid those who are just beginning these efforts or looking to expand or deepen the work they are already doing. The guidebook includes practical advice for partnership building, community advisory boards, participatory approaches to surveys, and youth engagement.

October 19, 2021
Brief
 

Community-engaged methods aim to include people with personal, lived experience in the knowledge-building and decisionmaking process. A community advisory board (CAB) is a diverse group of community members selected to voice community perspective as coleaders and/or advisers on a project team. This toolkit provides key tools and resources for planning, forming, and operating a CAB, including a considerations

October 19, 2021
Brief
 

With support from the Robert Wood Johnson Foundation, the Urban Institute set out to study how innovative policies and programs from abroad could inform state and local efforts in the United States to build an inclusive recovery from the COVID-19 pandemic. This work began with two analyses: a demand analysis to identify the priorities of top state and local policymakers for an inclusive recovery and a

October 18, 2021
Brief
 

Private insurers generally pay physicians substantially higher rates than Medicare does for the same service. Policy proposals to reduce commercial prices and curb health care spending by benchmarking private payment rates to Medicare prices could therefore significantly affect physician payments, but the effects will likely vary considerably by specialty. In this study, we assess the variation across physician

October 18, 2021
Brief
 

Despite their many economic, health, social, and environmental benefits, many parks and green spaces are underresourced or underutilized. The COVID-19 pandemic has highlighted the urgent need for parks and green spaces, but for many people in the US, particularly people of color and people with low incomes, quality parks and green spaces are inaccessible. Addressing these disparities and harnessing these spaces

October 18, 2021
Brief
 

In the United States, many individuals and families with low incomes struggle to find and afford rental housing because of a limited supply of options, skyrocketing costs, and stagnating wages. The COVID-19 pandemic has only exacerbated these issues, leading to job and income losses for millions of Americans. Innovative policy solutions, including ones inspired from abroad, can improve housing stability for

October 18, 2021
Brief
 

Despite the COVID-19 pandemic, equity financing in the US is at an all-time high. But this form of capital in the US is highly concentrated by geography, industry, race, and gender. Equity investors are increasingly financing larger, more mature businesses rather than smaller startups in need of capital, and most equity financing is concentrated on the coasts and in the male-dominated fields of technology and

October 18, 2021
Brief
 

For decades, policy experts, practitioners, and advocates have called attention to the inadequate public funding that supports the child care sector in the US. As a result, many child care providers in underresourced communities struggle to survive without additional support, and access to child care depends heavily on parents’ ability to pay the high costs. The COVID-19 pandemic exacerbated this crisis, and

October 18, 2021
Brief
 

High-speed broadband has become the connective tissue between the individual and all facets of society: educational, professional, social, and civic. The COVID-19 pandemic has only cemented this reality as schools, businesses, and governments have shifted online. Yet millions of Americans lack affordable access to baseline broadband. Bridging this connectivity gap is essential to an inclusive and equitable

October 18, 2021
Brief
 

This report shares Year 2 (2020) findings from an ongoing evaluation of the Meals-to-You (MTY) program, a pilot program administered by the Baylor Collaborative on Hunger and Poverty (BCHP) and funded by the US Department of Agriculture (USDA). The original aim of the MTY pilot was to provide a stable and reliable source of food through home delivery to children in rural areas who lack access to Summer Food

October 15, 2021
Research Report
 

We use the National Health Interview Survey from 2010 to 2017 and a difference-in-differences approach to assess the impact of the Affordable Care Cct (ACA) Medicaid expansion on coverage and access to care for a subset of low-income parents who were already eligible for Medicaid when the ACA was passed. Any gains in coverage would typically be expected to improve access to and affordability of care, but there

October 14, 2021
Journal Article
 

Many families with children faced precarious health care access and affordability as the COVID-19 pandemic and resulting recession took hold in 2020, and numerous families experienced additional economic and health challenges in the ensuing months. The American Rescue Plan Act (ARPA) included temporary changes to the premium subsidy schedule in the Affordable Care Act (ACA) Marketplaces aimed at improving the

October 12, 2021
Research Report
 

In this fact sheet, we use 2018–19 American Community Survey data to examine uninsurance rates among non-Hispanic parents who are Asian American/Pacific Islander (AAPI) by national origin. An estimated 5.8 percent of AAPI parents (294,000 parents) were uninsured in 2018–19, compared with 11.5 percent of parents overall. But AAPI parents’ uninsurance varied dramatically by national origin, with Korean parents

October 12, 2021
Fact Sheet
 

In this fact sheet, we use 2018–19 American Community Survey data to examine uninsurance rates among non-Hispanic children who are Asian American/Pacific Islander (AAPI) by national origin. AAPI children’s 3.5 percent uninsurance rate in 2018–19 was lower than that for children overall, but it conceals variation by national origin. For instance, Korean and Native Hawaiian/Pacific Islander children’s uninsurance

October 12, 2021
Fact Sheet
 

Rural areas are places of underappreciated diversity, cultural vitality, and economic innovation and resiliency. But persistent poverty is holding back about one in seven rural counties. With a goal to transform the fortunes and futures of rural and Native communities, the Partners for Rural Transformation (PRT) centers community needs and hopes in its work. Covering broad and diverse areas—including parts of

October 12, 2021
Research Report
 

Warren County, Ohio’s Child Assessment and Response Evaluation (CARE) project – a 24/7 rapid-response intervention for children at the scene of an overdose of a parent or loved one – identified and assisted 40 families affected by substance use disorders, assessed children for exposure to trauma, and successfully connected them to substance use services in the community. Further, CARE improved perceptions of

October 12, 2021
Research Report
 

Nurse practitioners (NPs) are an increasingly integral part of the primary care workforce. NPs' authority to practice without physician oversight is regulated by state-level scope of practice (SOP) restrictions. To the extent that SOP restrictions prevent NPs from practicing to their full abilities and capacity, they could create inefficiencies and restrict access to health care. In this paper, I study what

October 8, 2021
Journal Article
 

Nonprofit organizations in the United States play a vital role delivering services, strengthening communities, and facilitating civic engagement. In our nationally representative survey of nonprofit organizations fielded January through April of 2021, we focus on operating 501(c)(3) public charities whose activities range from direct service provision to community building and advocacy. We provide new evidence

October 7, 2021
Research Report
 

In 2021, the American Rescue Plan Act temporarily expanded the federal child tax credit (CTC) for one year, including some families formerly ineligible for the credit. This could lift 59,000 children in Oklahoma out of poverty annually, cutting the state's 13 percent child poverty rate roughly in half (Acs and Werner 2021). The IRS sent payments automatically to people who had filed tax returns in either 2019 or

October 6, 2021
Fact Sheet
 

In the face of increased national attention to long-existent and worsening racialized gaps in health, wealth, and well-being, some philanthropic organizations are reexamining what and how they fund to create initiatives that advance equity through durable shifts in policy and practice. Funders and their grantees need to collaborate within a framework of mutual accountability that has explicit commitments:

October 5, 2021
Brief