Financing

Older Adults’ Perceptions on Whether and How Care Preferences are Heard, Respected, and Incorporated into Care: A Focus Group Analysis

This report presents qualitative findings from a study exploring how older adults—particularly those from communities of color, experience the healthcare system, focusing on whether and how their care preferences are heard, respected, and incorporated into care. Report July 2025...

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End of Life Analysis of Costs of Ignoring Preferences-NHATs Analysis

Tracking Progress on Person-Centered Care: What Does It Really Cost Us to Ignore Patient Preferences? Report June 2025...

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Differences Between Expansion and Non-Expansion Medicaid Beneficiaries

Jane Tavares, Marc Cohen This analysis compares individuals eligible for Medicaid through ACA expansion (100–138% of the Federal Poverty Line) with those under 100% FPL. Expansion enrollees face deep poverty, poor health, high out-of-pocket costs, and functional limitations. Many are not in the workforce due to serious health conditions, with…...

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Estimated Coverage Losses for Adults Age 50 to 64 due to Impacts from the One Big Beautiful Bill Act (OBBA)

Jane Tavares, Marc Cohen This table estimates the number of adults ages 50 to 64 who could lose health insurance or SNAP benefits under the provisions of the One Big Beautiful Bill Act (OBBA), based on Congressional Budget Office (CBO) projections. It breaks down estimated coverage losses by major policy…...

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Impacts of Medicaid Expansion on Adults Age 50–64

Jane Tavares, Marc Cohen This longitudinal study (2012–2020) shows that adults aged 50–64 who gained Medicaid through ACA expansion saw major health improvements, lower rates of depression, fewer chronic conditions, and a 50% lower mortality rate. They also had reduced out-of-pocket costs and better access to primary care and medication.…...

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Who Is Affected by Work Requirements and Medicaid Loss

Jane Tavares, Marc Cohen This analysis explores the effects of losing Medicaid at age 65 and the impact of work requirements on beneficiaries aged 50–64. Loss of coverage results in declining health, increased hospitalizations, and reduced access to care. Among older enrollees not working, the majority cite health issues, while…...

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Medicaid Population & Work Requirements (Ages 18–64)

Jane Tavares, Marc Cohen This brief profiles Medicaid enrollees ages 18–64, comparing working and non-working individuals and the small group considered to be “able-bodied.” Medicaid users are more often female, have lower education, higher rates of disability, and very low income. Most non-working beneficiaries face serious health or caregiving challenges…...

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Impact of HCBS Cutbacks on Nursing Home Care Utilization

Jane Tavares, Marc Cohen This analysis examines how access to home and community-based services (HCBS) affects nursing home use. Without HCBS, individuals eligible for institutional care are more likely to enter nursing homes, raising system costs and reducing their time living in the community. Research Brief April 2025...

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Providers’ Perspectives on Identifying Ways to Mitigate Obstacles and Improve Opportunities for Assuring Patients’ Care Preferences are Heard and Taken into Account

This report documents the attitudes and opinions of 28 healthcare professionals (physicians, nurse practitioners, and physician assistants) regarding whether and how they engage in shared decision-making, navigate barriers to honor patient preferences, and adapt strategies across diverse populations. Report February 2025...

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