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The Role of Patient-Centered Outcomes Research in Improving Evidence and Advancing Health Equity

The ongoing effort to transform health care in the United States is an important opportunity to address racial, ethnic, and other health inequities directly and deliberately. A central pillar in deliv...

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Expanding Medicaid Round Four: Utah’s Costly Exercise in Futility

It has been nearly one year since Utah voters passed Proposition 3, a ballot initiative to fully expand Medicaid. Unfortunately, the state Legislature overrode Proposition 3 with the passage of S.B. ...

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America’s Children Are Losing Health Insurance, Putting Their Futures at Risk: How National Lawmakers Can Help

Census numbers released yesterday tell a grim story about children’s health in America. After a generation of steady bipartisan progress, with the number of children falling by two-thirds, the last ...

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Improving Access to Oral Health Care for Adults with Disabilities Can Improve Their Health and Well-Being

Many adults with disabilities experience extraordinary barriers to good oral health. Without good oral health insurance coverage in Medicare or many state Medicaid programs, many people with disabilit...

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How Enrollment Assisters and Health Insurers Can Partner to Better Serve Consumers

Health insurance companies can increase the capacity of enrollment assister programs by providing answers to consumer queries about marketplace plans. As our new issue brief and video explain, par...

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How to Make Reference Pricing Work for Consumers

In today’s health care system, prices for medical care often vary greatly—even for the same service (e.g., a colonoscopy) from providers in the same network. And there is little to no correlation ...

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Price Transparency in Health Care: An Introduction

Prices for the same health care service can vary dramatically depending on the provider. More expensive providers do not necessarily deliver higher-quality care. And it can be nearly impossible for co...

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Eight Ways to Judge Republican ACA Replacement Plans

The Affordable Care Act (ACA) has made historic improvements to our nation’s health care system. The law has brought numerous benefits to families, state economies, and employers. The rate of people...

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Rate Review: Holding Health Plans Accountable for Your Premium Dollars

When health insurance companies want to raise premiums, states use a process called "rate review" to decide whether proposed increases are justified. Many states have limited authority to prevent unre...

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Medical Loss Ratios: Making Sure Premium Dollars Go to Health Care—Not Profits

A health insurance company’s “medical loss ratio” (MLR) is the share of premium dollars it spends on health care rather than administrative costs, marketing, and profits. We can protect consumer...

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