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This Health Policy 101 chapter explores LGBTQ+ people’s identities and demographics, their experiences with health and health care, including the significant disparities, and the related federal and state health policy landscape.
This Health Policy 101 chapter explores the federal government’s role in health policy for the fragmented U.S. health care system. It examines the impact of the three federal branches and goes into further detail about the Department of Health and Human Services structure and the major congressional committees dealing with health care. It also briefly outlines the federal budgetary and regulatory process.
This Health Policy 101 chapter explores how national and state policies shape coverage and access to care for women, with a focus on recent policy and legal developments that affect women's health. It takes a deeper dive into the policies that drive health coverage and costs, reproductive and maternal health access, mental health care, and intimate partner violence and how these policies shape the health of women who are at greater risk of being marginalized, discriminated against, or face health inequities.
This Health Policy 101 chapter explores trends in health care costs in the U.S. and the factors that contribute to this spending. It also examines how health care spending varies across the population, the impact of costs on care affordability and individuals' overall financial vulnerability.
This Health Policy 101 chapter examines the share of the United States population who are uninsured, highlighting their demographics and the challenges they face because of the lack of coverage. Economic conditions, federal and state policy decisions, and major health crises like the COVID-19 pandemic influence the uninsured rate. While implementation of the Affordable Care Act, namely the expansion of Medicaid and availability of subsidized Marketplace coverage, led to a drop in the share of people who are uninsured, disparities in coverage persist and policy changes in the 2025 budget reconciliation bill are expected to increase the size of the population.
This Health Policy 101 chapter explores Medicaid, the primary U.S. program providing comprehensive coverage of health care and long-term services and supports to about 80 million low-income people. Originating in 1965 and expanding with the Affordable Care Act, the chapter reviews Medicaid's evolution, including 2025 changes, and its joint federal and state financing and administration. It discusses how state-level flexibility in managing Medicaid leads to variation in coverage, spending, health care delivery, and access across different states.
This Health Policy 101 chapter explores Medicare, a federal health insurance program covering more than 68 million people, established in 1965 for people age 65 or older and later expanded to cover people under age 65 with long-term disabilities. In addition to detailing Medicare eligibility, coverage, and spending, the chapter examines the increased role of private plans in providing benefits and the financing challenges posed by increasing health care costs and an aging population.
This Health Policy 101 chapter provides an overview of the Affordable Care Act (ACA), a major reform of the U.S. health care system aimed at reducing high uninsured rates and alleviating issues like high out-of-pocket costs and coverage exclusions for preexisting conditions. The ACA significantly altered many aspects of the health system and the chapter explores its mechanisms, such as the Health Insurance Marketplaces, and the evolution of the law since its passage in 2010 to the changes in the 2025 budget reconciliation law.
This Health Policy 101 chapter provides an overview of racial and ethnic disparities in health and health care and the factors that drive them, including the role of historical events and social and economic factors. It discusses why addressing disparities is important for health and economic prosperity, reviews recent federal policy actions that may impact disparities, and outlines future considerations.
This Health Policy 101 chapter explores the performance of the U.S. health system on a number of cost, outcomes, and quality measures by comparing it with those in similarly large and wealthy OECD nations. It highlights that despite significant spending, Americans have shorter life expectancies and encounter more barriers to health care, influenced by both the health system's structure and broader socioeconomic factors.
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