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Health Reform

Health reform involves extending insurance coverage and restructuring the health care delivery system to focus on prevention and primary care, reducing costs, and improving quality. Foundations are well positioned to help by educating consumers, supporting state implementation, transforming the safety net, expanding the health care workforce, and supporting innovations for high-cost patients.

In 2010 GIH established the GIH Health Reform Resource Center Fund, which allows GIH to increase staff resources and programming in order to inform and connect funders supporting work related to health reform.

Contact Ann McMillan for more information about our programming in this area.

Issue Spotlight

July 2017

This report by the National Academy for State Health Policy provides an initial assessment of individual market coverage and affordability under the Better Care Reconciliation Act (BCRA) introduced in the U.S. Senate. This Issue Brief seeks to inform policymakers on three interrelated elements of the potential impacts of the BCRA on consumers and the individual market. This data interactive compares estimated annual consumer premiums for marketplace enrollees under the Affordable Care Act and the Better Care Reconciliation Act. Building on data from the Kaiser Family Foundation, the interactive compares consumer premiums within each state for a relatively low cost and a relatively high cost county. Users can select and compare premiums for several ages, income levels and bronze or silver coverage.

July 2017

The Better Care Reconciliation Act (BCRA) introduced in the Senate in June 2017 is now under debate. The bill would eliminate much of the Affordable Care Act (ACA), ending the individual and employer mandates, eliminating tax revenue sources, significantly changing premium tax credits and eliminating cost-sharing subsidies for private nongroup insurance coverage, and substantially altering the financing of the Medicaid program. Some changes would be made immediately, such as the repeal of the ACA’s mandates; others would be implemented in the coming years. This Urban Institute publication models the coverage effects of BCRA implementation on the nation and on specific states for the year 2022.

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