This issue brief analyzes changes in health insurance coverage and examines trends in access to care among Black Americans using data from 2011-2020. This Issue Brief is part of a series of ASPE reports examining the change in coverage rates and access to care after implementation of the Affordable Care Act (ACA) among different racial and ethnic populations.
Division of Health Care Access and Coverage (HAC)
The Division of Health Care Access and Coverage (HAC) is responsible for issues relevant to the Health Insurance Exchanges, the Medicaid and CHIP programs, and private health insurance reforms. A primary focus is affordable access to health care services via public or private health insurance coverage for a variety of population groups. HAC provides research, data analysis, and development of policies and mechanisms that integrate the financing and delivery of health care. Relevant topic areas include:
- Health Insurance Exchange--coverage, enrollment and premium issues;
- Medicaid and CHIP--access, coverage, payment, and financing; and
- Private health insurance issues affecting affordability, consumer choice, and coverage both inside and outside the Exchanges.
Reports
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Health Insurance Coverage and Access to Care Among Black Americans: Recent Trends and Key Challenges
ASPE Data Point
Estimates of Uninsured Adults Newly Eligible for Medicaid If Remaining 12 Non-Expansion States Expand Medicaid: 2022 Update
This Data Point presents updated estimates of potential Medicaid eligibility among uninsured, non-elderly adults in states that have not expanded Medicaid coverage to adults with incomes up to 138% of the federal poverty level as of 2022. This analysis updates a previous Data Point by accounting for Medicaid expansion in two states, Missouri and Oklahoma, in 2021.
ASPE Data Point
Health Coverage Changes From 2020-2021
The National Health Interview Survey (NHIS) provides annual and quarterly data on health insurance coverage by insurance type, age, and income.
ASPE Issue Brief
Health Insurance Deductibles Among HealthCare.gov Enrollees, 2017-2021
The Affordable Care Act provides premium subsidies for Marketplace eligible individuals to improve health insurance affordability, as well as cost-sharing reductions (CSRs) for many enrollees that limit out-of-pocket spending such as deductibles.
ASPE Issue Brief
Facilitating Consumer Choice: Standardized Plans in Health Insurance Marketplaces
Standardized plans are a policy option that can simplify Marketplace consumer comparison shopping and bring more value to consumers by offering the same deductibles and cost-sharing across plans. This report provides an overview of the evidence to date on how standardized plans can potentially benefit consumers, improve health equity, and enhance plan competition.
ASPE Issue Brief
Medicaid After Pregnancy: State-Level Implications of Extending Postpartum Coverage
The postpartum period is increasingly recognized as a target for policy intervention to improve maternal health. The American Rescue Plan Act included an option for states to offer 12 months of postpartum Medicaid eligibility, a significant extension from the current requirement of 60 days.
ASPE Data Point
Assessing Uninsured Rates in Early Care and Education Workers
This Data Point presents current estimates of uninsured rates among early care and education workers (ECE), which includes individuals employed by Head Start, childcare center providers, and preschools. These populations have lower incomes on average and often lack access to benefits, including health coverage, commonly received by teachers in the K-12 system and post-secondary schools.
ASPE Issue Brief
Tracking Health Insurance Coverage in 2020-2021
Federal surveys relied on by researchers and policymakers for estimates of the uninsured population have been disrupted by the COVID-19 pandemic, potentially influencing the accuracy of their estimates. This report analyzes evidence from a variety of data sources, including surveys and administrative data, which collectively indicate that the number of uninsured people in the U.S.
ASPE Issue Brief
Health Insurance Coverage and Access to Care Among Latinos: Recent Trends and Key Challenges
ASPE Issue Brief
Reaching the Remaining Uninsured: An Evidence Review on Outreach and Enrollment
This Issue Brief reviews evidence on factors affecting enrollment in health coverage among uninsured populations, including take-up of Medicaid and subsidized Marketplace plans among eligible individuals.