This Issue Brief presents current estimates of enrollment in health insurance coverage obtained through the ACA Marketplaces and the Medicaid expansion and the subsequent reductions in state-level uninsured rates since the ACA was implemented in 2014.Related Products
Health & Health Care
ASPE produces health policy research with a focus on equity, coverage, and access. Find resources related to a broad range of topics, including the uninsured population, vaccine hesitancy, Medicaid/CHIP, Medicare, the federal marketplace (HealthCare.gov), telehealth, health care delivery, underserved areas, delivery system transformation, health outcomes, and social determinants of health.
Noteworthy Resources and Reports
Vaccine Hesitancy for COVID-19: State, County, and Local Estimates
To support state and local communication and outreach efforts, ASPE developed state, county, and sub-state level predictions of hesitancy rates using the most recently available federal survey data. Explore the interactive map and other resources.
Topic Areas
Reports
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Health Coverage Under the Affordable Care Act: Enrollment Trends and State Estimates
ASPE Issue Brief
COVID-19 Intensifies Home Care Workforce Challenges: Policy Perspectives Issue Brief
Link to Printer Friendly Version in PDF Format (5 PDF pages)
ASPE Issue Brief
COVID-19 Intensifies Home Care Workforce Challenges: Agency Perspectives Issue Brief
June 1, 2021
Link to Printer Friendly Version in PDF Format (5 PDF pages)
COVID-19 Intensifies Home Care Workforce Challenges
June 1, 2021
Link to Printer Friendly Version in PDF Format (66 PDF pages)
Perspectives of Program Participants on Virtual Human Services During COVID-19
Focus groups with a small sample of program participants across a range of human services programs in Fall 2020 captured the perspectives of people served to better understand the perceived strengths and limitations of virtual services.
Factors influencing variation between states in efficiency of COVID-19 vaccine administration
Limited initial supplies of the COVID-19 vaccine necessitated the development of strategies to ensure efficient and equitable vaccine distribution. This brief summarizes the different vaccine distribution strategies and approaches taken by states and evaluates the extent to which these may have impacted the efficiency with which doses delivered to states are administered to patients.
Disparities in COVID-19 Vaccination Rates across Racial and Ethnic Minority Groups in the United States
Ensuring equitable distribution of the COVID-19 vaccine is essential to mitigate the disproportionate impact of COVID-19 on racial and ethnic minority populations. This brief summarizes currently available data on race and ethnicity of vaccinated persons at the state level.
Visualization
Measuring the Effectiveness of Virtual Human Services
The COVID-19 pandemic drove a large and rapid transition from in-person human service delivery to virtual approaches. Measuring the implementation and outcomes of virtual human services in a timely way is crucial to understanding the challenges and successes for a variety of participants across programs and services.
Workforce Implications of Behavioral Health Care Models: Final Report
March 2021
Link to Printer Friendly Version in PDF Format (57 PDF pages)
ASPE Issue Brief
Crisis Services and the Behavioral Health Workforce Issue Brief
March 2021
Link to Printer Friendly Version in PDF Format (9 PDF pages)