Health Policy Center
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Health Policy Update
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Rural hospital revenue could drop by $87 billion over 10 years because of the reconciliation bill and expiring enhanced premium tax credits (PTCs)
Provisions in the bill and expiration of enhanced PTCs could cause rural hospitals to lose $87 billion in revenue and face $23 billion in additional demand for uncompensated care between 2025 and 2034.
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CHIRBlog: The reconciliation bill eliminates long-standing state flexibility to operate Marketplaces and regulate private health insurance
These changes could undermine states’ value proposition for establishing or maintaining a state-based Marketplace while infringing on their long-standing primacy over the regulation of private health insurance by imposing new federal rules.
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Journal of Health Politics, Policy, and Law: Medicare at 60
To mark Medicare’s 60th anniversary, Urban Institute researchers review the program’s many accomplishments, as well as its problems, and highlight reforms that can extend and build on its legacy.
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Ability to pay and the affordability of fines and fees
Using data from the December 2024 Well-Being and Basic Needs Survey, researchers examine how common it is for people to be asked about their ability to pay fines and fees and to be offered affordability options.
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Urban Institute's 2024 Impact Report
Urban's extensive research into medical debt helped shape a new federal rule to remove medical debt from credit reports. Read about this and more in the 2024 Impact Report.
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