Health Reform and Changes in Health Insurance Coverage in 2014

Benjamin D. Sommers · Thomas Musco · Kenneth Finegold · Munira Z. Gunja · Audrey M. McDowell

151 citations0/0 files storedNew England Journal of Medicine

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Healthcare Policy and Management Insurance and Financial Risk Management Healthcare Systems and Reforms

Abstract

More than 20 percent of the gains in health insurance under the Affordable Care Act (ACA) disappeared by the end of 2017. The uninsured rate for nonelderly adults increased by 1.3 percentage points in 2017, after decreasing by 6.3 percentage points between 2013-2016, after the full implementation of the ACA. Key FindingsResearchers pointed to factors that could be contributing to fewer people with insurance:Fewer federal resources devoted to raising awareness of coverage options and signing-up individuals;Increasing premiums in the individual marketplace;Recent regulatory changes.ConclusionThe ACA is associated with large gains in coverage and access to care. As the partial loss of these gains over 2017 shows, this increased coverage isn't necessarily permanent, and ongoing policy debates will have an impact on health insurance coverage. Continued monitoring of changes in coverage levels, utilization of health care services, and population health are needed to fully understand the effects of policy changes on the ACA's impact.

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References

2012The Oregon Health Insurance Experiment: Evidence from the First Year*2013The Oregon Experiment — Effects of Medicaid on Clinical Outcomes 2007Advances in Telephone Survey Methodology 2007The Causes and Consequences of Response Rates in Surveys by the News Media and Government Contractor Survey Research Firms 2013The Affordable Care Act Has Led To Significant Gains In Health Insurance And Access To Care For Young Adults 2013Effects of Federal Policy to Insure Young Adults: Evidence from the 2010 Affordable Care Act's Dependent-Coverage Mandate 2014Changes in Mortality After Massachusetts Health Care Reform 2014Health Care Coverage under the Affordable Care Act — A Progress Report

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