Not measuring and paying for equity risks worsening disparities and it is a key missed opportunity for reducing disparities. This issue brief describes actionable opportunities at the state and federal level to measure and pay for equity.
It took Zoey Salsbury six years to get an incorrect diagnosis for her constant pelvic and joint pain.
The first time she mentioned her pain to her doctor, during her freshman year of high school, her pain was dismissed as “growing pains.” She remembers thinking, “Well this growing thing is absolute [garbage] if this is how it feels.”
After unanimous, bipartisan approval at the committee level, the Maryland House of Delegates passed, by an overwhelming 200-9 margin, legislation to establish a simple and seamless system for obtaining health coverage. Under the bill, an uninsured Marylander can start the enrollment process by simply checking a box on their state income tax return. That single step will let the state’s health care exchange determine eligibility for free or low-cost health insurance, based on information in the tax return. Those who qualify for Medicaid will be enrolled automatically.
On March 14, 2019, federal judge James Boasberg of the U.S. District Court for the District of Columbia will hear oral arguments on the legality of Medicaid work requirements in Arkansas and Kentucky. The Arkansas work requirement program took effect June 1, 2018, resulting in approximately 18,000 people losing Medicaid coverage so far; it is estimated an additional 30,000 people will lose coverage if the program continues in 2019.
Throughout American history, the tenacity that women advocates have shown in combating systematic inequities has proved to be an invaluable source of inspiration for each successive generation of health care activists. The significance of this legacy is well-captured in a quote from the late Dr. Gerta Lerner, an esteemed scholar of Women’s History, and a lifelong advocate for women’s rights: “Women’s history is women’s right — an essential, indispensable heritage from which we can draw pride, comfort, courage, and a long-range vision.”
This guide outlines model policies for states to consider to rein in drug prices in 2019 and beyond. Those discussed first most directly target drug prices and therefore are likely to have the greatest impact. This piece also cautions against prioritizing approaches to import drugs from Canada, as these policies are less likely to bring savings despite their public appeal.
The Administration’s proposed budget is in part a return to policies that Americans have overwhelmingly rejected. It proposes to gut core insurance protections, end the expansion of Medicaid to low income adults, and block grant the Medicaid program, cuts amounting to over a trillion dollars over ten years. But the budget also signals new and deeply concerning policy changes including mandatory new work documentation requirements in Medicaid, and increasing the cost of health insurance premiums for low income people in the non-group market.
Partial Expansion Does Not Really Close the Coverage Gap: The Impact of Individual Market vs. Medicaid Expansion Coverage for 100-138% FPL Population
This analysis highlights the coverage and financial burden that non-elderly adults between 100-138% of the Federal Poverty Level experience when enrolled in individual market coverage compared to coverage under Medicaid expansion. We show that Marketplace coverage is simply not adequate or appropriate for near poor individuals and families.
This webinar discusses the latest strategies that state leaders and advocates are pursuing to improve the health care system for consumers. Families USA's invited guests and expert staff share leading 2019 state health policy proposals and discuss lessons from them that can be applied in all states.
Featured Speakers Include:
Advancing Health Equity through System Transformation: Strengthening the Evidence Base to Achieve Health Equity
Learn more about: Families USA's new Center on Health Equity Action for System Transformation and our Evidence for Equity Initiative; Concrete examples of how underrepresentation in research harms certain populations; and the benefits of using comparative effectiveness research and patient-centered outcomes research as methods to strengthening the evidence base.