Strengthening Integration of Health Services and Systems
In a Culture of Health, health systems balance clinical care with prevention-oriented public health and community-based social services, improving health outcomes while driving down costs. This integration is driven by increasing access to care, improving the patient experience, and establishing the connections needed to help people live healthier lives.
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Health Care Systems and ServicesState Efforts to Lower Consumer Cost-Sharing for High-Cost Prescription Drugs: Stakeholder Perspectives
Sandy Ahn and Sabrina Corlette from the Center on Health Insurance Reforms at Georgetown University released a paper analyzing the findings from a 50-state review of policies that lower consumers’ cost-sharing for expensive prescription drugs. The research was supplemented by in-depth interviews with officials and stakeholders in four states with such policies.
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Children and FamiliesEmerging Strategies for Integrating Health and Housing
Elaine Waxman and Corianne Scally of the Urban Institute Research Hub have released a new study examining emerging interventions that integrate housing and health services for low-income people, focusing on interventions where health care organizations have taken a significant leadership role.
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Health Care Systems and ServicesStates experiment with tactics to reduce cost-sharing for privately insured
While high deductibles can help lower premiums, they can also encourage consumers to delay or forgo necessary care. This can lead to worse health outcomes and ultimately greater out-of-pocket costs for consumers. A new research brief from Georgetown researchers looks at what states have done to lower cost-sharing barriers for their residents.
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Health Care Systems and ServicesState Efforts to Lower Cost-Sharing Barriers to Health Care for the Privately Insured
Sandy Ahn and Sabrina Corlette from the Center on Health Insurance Reforms at Georgetown University released a paper analyzing the findings of state laws that lower consumers’ financial barriers to key health care services. The research included a survey of laws and policies in all 50 states and D.C., and in-depth interviews of stakeholders in four states with such policies.
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Health Care Systems and ServicesImpacts of the Affordable Care Act on Equity in Health Care Access and Utilization for Indigenous Women
This project will quantitatively assess whether the impacts of the Affordable Care Act (ACA) on health care access and utilization were equitable between Indigenous and non-Indigenous women.
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Quality preventive medical care remains one of the most important tools for mitigating diseases like cancer, hypertension and heart disease, which are leading causes of death and disability in the U.S. However, due to persistent social and economic inequities, preventive services remain inaccessible to many people.
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Children and FamiliesIncome Support and Children's Health Trajectories
Approximately 16 percent of children in the U.S. live in families with incomes below the federal poverty threshold, potentially creating negative long-term effects that are experienced over the life-course. The Supplemental Security Income (SSI) program provides cash assistance to low-income children with disabilities, expanding family budgets and potentially allowing low-income parents to better protect the health of vulnerable children. However, few studies have evaluated the impact of this policy.
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Children and FamiliesIncreasing Pre-Conception and Postpartum Medicaid Coverage
Birth outcomes, including infant mortality and low birth weight, are shockingly poor in the U.S. Researchers will assess whether the ACA increased intended pregnancies, reduced prepregnancy smoking, and affected contraception and birth outcomes among women covered by Medicaid--and whether these changes reduced disparities across racial and ethnic groups.
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In 2014, the Centers for Medicare & Medicaid Services (CMS) issued new guidance to allow providers in educational settings to seek Medicaid reimbursement for free preventive services covered by the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provided to Medicaid-enrolled children. However, following CMS’ announcement, states retained policies restricting reimbursement for these services.
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Children and FamiliesDoes Medicaid Expansion Improve Maternal and Infant Health?
Recent media reports have highlighted startling trends in U.S. maternal health with stark differences across racial and ethnic groups. Maternal deaths associated with pregnancy and childbirth are high when compared to other developed countries and have increased substantially over the last two decades.
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Children and FamiliesHow the Opioid Epidemic Impacts ChildrenThe impact of the opioid epidemic on children, their families, and on child-serving systems (early childhood education, schools, child welfare, etc.) is not well understood. This exploratory project will examine some of the most critical dimensions, urgent challenges, and important nuances for policymakers and others, drawing on a review of the existing literature and a deeper dive into two states at the forefront of the opioid epidemic.
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Employment and WorkplaceHow Will Work Requirements in Medicaid Affect Low-Income Families?
While multiple studies show a positive association between employment status and improved physical and mental health, it is unclear whether this relationship is causal. Building on work in Kentucky, Louisiana, Arkansas, and Texas, the research team will analyze the effects of Medicaid work requirements on coverage rates, access to care, and employment among low-income adults.