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According to a new analysis from the Urban Institute, the health insurance coverage gains created by the Affordable Care Act (ACA) have increased the number of uninsured people in the US by 17% in 2013 to 10% in 2016. The report said the cuts were even more striking in the states that expanded Medicaid.
According to a new analysis from the Urban Institute, the health insurance coverage gains created by the Affordable Care Act (ACA) have increased the number of uninsured people in the US by 17% in 2013 to 10% in 2016. The report said the cuts were even more striking in the states that expanded Medicaid.
The report, funded by the Robert Wood Johnson Foundation (RWJF), revealed that the number of people benefiting from health insurance coverage had increased by 18.5 million over the period.
The Medicaid expansion fueled the majority of coverage gains (10.9 million people). Increases were proportionally higher in the 31 states and the District of Columbia that expanded coverage of Medicaid. In the expanding states, where 12.6 million people were covered (9.7 million thanks to Medicaid), uninsured companies were halved, from 15.3% to 7%.
There were gains in non-expanding states, but at a slower pace: the number of uninsured people rose from 19.8% to 13.7%, with an increase of 5.9 million people becoming insured .
Improvements in health insurance coverage were broadly distributed across all racial and ethnic groups, the type of workers' industry, income and schooling levels and age groups and each group studied had lower uninsured rates in 2016 than in 2013. were for people with incomes lower than 138% of the federal poverty line. The other groups benefiting from this period were:
- Hispanics
- Young adults aged 19 to 25
- Adults with a high school education or less
- Adults working in fewer industries offer employer-sponsored insurance, such as retail and construction
The study looked at the types of insurance coverage increasing under the ACA, including employer coverage, coverage of private groups and Medicaid, and how coverage varied according to individual characteristics and groups of states.
There is no other explanation than ACA for these results, says the report.
"The data show that the Affordable Care Act has dramatically increased access to affordable health insurance coverage for millions of people," said Mona Shah, RWJF Program Manager, in a statement. . "Continued progress will require ongoing awareness among those affected and government support that underscores a commitment to the importance of health insurance coverage."
The report does not reflect the Trump administration's changes to the markets in 2017 and 2018 and the repeal of last year's individual purchasing mandate. For example, the creation of community health plans and short-term and time-limited health plans should have a negative impact on the number of insureds.
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