Full Citation
Title: A Typology for Analyzing Coverage Gains by State: 2013–2017
Citation Type: Miscellaneous
Publication Year: 2019
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Abstract: In September 2018, we released a paper, Changes in Health Insurance Coverage 2013–2016: Medicaid Expansion States Lead the Way, that provided national data on changes in coverage from the year immediately preceding the Affordable Care Act’s (ACA’s) main coverage reforms.1 We simultaneously released fact sheets on coverage changes for each of the 50 states and the District of Columbia. In this brief, we summarize the state variation in coverage changes using a typology that groups states according to their pre-ACA uninsurance levels and their subsequent policy decisions around Medicaid expansion and efforts to encourage marketplace enrollment. Data from 2017 are now available, and we use them here to examine changes in coverage between 2013 and 2017. This incorporates the 2013–16 period of expanding coverage resulting from the ACA’s Medicaid expansion, income-related tax credits, and individual mandate. It also includes the small decline in coverage that occurred between 2016 and 2017.
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Authors: Holahan, John; Elmendorf, Caroline; Blumberg, Linda; Skopec, Laura
Publisher: Urban Institute
Data Collections: IPUMS USA
Topics: Population Health and Health Systems
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