This Issue Brief presents current estimates of enrollment in health insurance coverage obtained through the Affordable Care Act (ACA) Marketplaces, Medicaid expansion, Children's Health Insurance Program, Basic Health Program and the subsequent reductions in state-level uninsured rates since the ACA was implemented in 2014.
Health Insurance
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Health Coverage Under the Affordable Care Act: Current Enrollment Trends and State Estimates
March 23, 2023
ASPE Issue Brief
Inflation Reduction Act Research Series: Medicare Part D Enrollee Savings from Elimination of Vaccine Cost-Sharing
March 15, 2023
Effective January 1, 2023, the Inflation Reduction Act (IRA) eliminated enrollee cost-sharing for recommended vaccines covered under Medicare Part D. In 2021, 3.4 million people received vaccines under Part D, and annual out-of-pocket costs were $234 million.
ASPE Data Point
How Many People Participate in the Social Safety Net?
January 20, 2023
Social safety net programs provide different types of support to people facing economic hardship. This data point presents estimates of overall participation in the social safety net in 2019, the latest year of available data and presents rates of participation in multiple programs.
Key Points:
ASPE Data Point
How Many People that Receive One Safety Net Benefit Also Receive Others
January 20, 2023
People facing economic instability often need more than one program or service. This pre-pandemic analysis looks at the reach of the social safety net, including the interaction of specific programs, to better understand program participation as the economy continues to recover.
Key Points:
Database, Dataset
State and Local Estimates of the Uninsured Population in the U.S. Using the Census Bureau’s 2021 American Community Survey
November 18, 2022
Methodological Description
ASPE Data Point
HealthCare.gov Enrollment by Race and Ethnicity, 2015-2022
October 25, 2022
This Data Point presents changes in HealthCare.gov enrollment by race and ethnicity from 2015-2022 using a validated imputation method for missing information on race and ethnicity.
Report
Understanding Coverage Considerations for COVID-19 Vaccines and Treatments
August 31, 2022
COVID-19 vaccines and treatments have been an important tool in the prevention of COVID-19, including preventing hospitalizations and deaths.
ASPE Issue Brief
Unwinding the Medicaid Continuous Enrollment Provision: Projected Enrollment Effects and Policy Approaches
August 19, 2022
This report provides current HHS projections of the number of individuals predicted to lose Medicaid coverage at the end of the COVID-19 public health emergency (PHE) due to a change in eligibility or due to administrative churning.
Research Summary
Environmental Scan on Consolidation Trends and Impacts in Health Care Markets
August 12, 2022
This contractor report describes the landscape of market consolidation across the U.S. health care system and analyzes the evidence on the price, cost, and quality effects of consolidation.
ASPE Data Point
National Uninsured Rate Reaches All-Time Low in Early 2022
August 2, 2022
This Data Point examines new Health Interview Survey data to assess recent changes in coverage, finding that the uninsured rate declined throughout 2021 and early 2022 – reaching a historic low of 8.0% by the first quarter of 2022. This reflects 5.2 million people gaining coverage since 2020.