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Commonwealth Fund 08/21/2019
In an analysis of the American Community Survey, the authors report that all adults saw gains in health coverage between 2013 and 2016 following implementation of the Affordable Care Act, but the gains were greater for racial and ethnic groups and those with incomes below 139 percent of poverty, with the effects strongest in states participating in the Medicaid expansion.
Commonwealth Fund 08/20/2019 15:05
While Congress and many Americans are taking an August break, lawsuits about the Affordable Care Act (ACA) grind on in the federal courts. In this post, we review the current status of the major cases, including those challenging the validity of the ACA and related regulations and those challenging Trump administration initiatives that undermine the ACA.
Commonwealth Fund 08/15/2019 10:26
Last week the Trump administration published its long-anticipated proposed “public charge” rule, which carries enormous implications for Medicaid and immigrants enrolled in the program. A public charge is an individual considered dependent on the government for subsistence. The proposal would radically expand the extent to which public benefits received by legal immigrants who are not yet citizens are used as evidence of public charge status.
Commonwealth Fund 08/09/2019 11:08
Health care took center stage on both nights of the most recent Democratic debates, a reminder of how worried Americans are about getting and affording health care. Their concerns are not unfounded. More than 30 million do not have health insurance, which puts them at greater risk of illness, and possibly death. A new study from the National Bureau of Economic Research shows that 15,600 deaths between 2014 and 2017 could have been avoided if all states expanded Medicaid.
Commonwealth Fund 07/24/2019 15:31
While the administration argues that the change will strengthen the marketplaces, it could instead destabilize individual markets if they get an influx of high-cost enrollees. Ultimately, the impact will depend on how well the final rule guards against employers using Health Reimbursement Arrangements (HRAs) to cover high-cost employees.
Commonwealth Fund 07/15/2019 15:23
A total of 27 states have enacted at least some consumer protections against surprise medical bills, a problem that's been gaining increasing attention. Some states go much further than others in protecting patients from surprise medical bills, such as banning balance billing, extending protections to in-network hospitals settings, and adopting dispute resolution.
Commonwealth Fund 06/28/2019
In Cuba, the neighborhood is not only the center of public life, it is the center of the health care system as well. Primary care is delivered at a consoltorio, a community-based clinic staffed by doctors, nurses, and even statisticians. When Commonwealth Fund staff traveled to Cuba recently to learn about its primary care system, they discovered that the secret sauce missing from primary care in the United States might just be the role of community. On this episode of The Dose, we talk about how cultural differences play out in the way Cuba and the U.S. approach the delivery of health care. As a bonus, you’ll also hear a listener’s response to our recent episode on “Medicare for All.”

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