Full Citation
Title: Losses (and Gains) from Health Reform for Non‐Medicaid Uninsureds
Citation Type: Journal Article
Publication Year: 2020
ISBN:
ISSN: 0022-4367
DOI: 10.1111/jori.12255
NSFID:
PMCID:
PMID:
Abstract: This article examines how the Affordable Care Act (ACA) would changefinancial resources for and transfers to the previously uninsured if they wereto purchase coverage in the ACA insurance exchanges (marketplaces) in2014. The results suggest that the law provides gains to some, relative to theirspending in the pre-ACA period, particularly those in poor health and withvery low incomes, but it also potentially imposes financial losses on many,again compared to their experience when uninsured. We estimate changes inexpected payments—defined as premiums plus expected out-of-pocketcosts—from purchasing coverage and paying cost sharing post-ACA,relative to expected out-of-pocket payments when being uninsured pre-ACA, across population subgroups characterized by income, age, and healthstatus. We also estimate changes in expected transfers to the previouslyuninsured under alternative assumptions on how much health carespending increases after the ACA.
Url: http://doi.wiley.com/10.1111/jori.12255
Url: https://onlinelibrary.wiley.com/doi/abs/10.1111/jori.12255
User Submitted?: No
Authors: Pauly, Mark; Leive, Adam; Harrington, Scott
Periodical (Full): Journal of Risk and Insurance
Issue: 1
Volume: 87
Pages: 41-66
Data Collections: IPUMS CPS
Topics: Health
Countries: United States