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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

Displaying 1 - 10 of 20. 10 per page. Page 1.

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ASPE Issue Brief

HealthCare.gov Plan Selections by Race and Ethnicity, 2015-2024

This issue brief presents Marketplace plan selections by race and ethnicity among 2015-2024 Open Enrollment Period enrollees in HealthCare.gov states using combined self-reported race and ethnicity information with imputed data for missing values.
ASPE Issue Brief

Changes in Health Insurance Coverage, 2019-2021: Geographic and Demographic Patterns in the Uninsured Rate

This Issue Brief examines the composition of the population that is uninsured and highlights changes in uninsured rates by geography and demographic factors from 2019 to 2021, during a time of significant federal policy efforts to expand coverage.
ASPE Issue Brief

Unwinding the Medicaid Continuous Enrollment Provision: Projected Enrollment Effects and Policy Approaches

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.
ASPE Issue Brief

Health Coverage Changes Under the Affordable Care Act: End of 2021 Update

This report examines recently-released 2021 National Health Interview Survey data to assess coverage changes during the pandemic, finding a decrease in the uninsured rate in 2021 for the population as a whole and by race, ethnicity, and income.
ASPE Issue Brief

HealthCare.gov Marketplace Enrollment During the 2021 Special Enrollment Period by Race and Ethnicity

In response to the COVID-19 Public Health Emergency, the Centers for Medicare & Medicaid Services provided a 2021 Special Enrollment Period (SEP) from February 15 to August 15, 2021. Understanding the sociodemographic composition of Marketplace enrollees allows for better targeted outreach and enrollment assistance. However, many enrollees do not report their race and ethnicity.
ASPE Data Point

Projected Coverage and Subsidy Impacts If the American Rescue Plan’s Marketplace Provisions Sunset in 2023

The American Rescue Plan (ARP) includes two key provisions that expand and increase premium tax credit benefits for Marketplace consumers, improving affordability of coverage for millions. Under current law, these provisions will sunset in 2023 if they are not extended, resulting in higher out-of-pocket costs for enrollees and an increase in the number of uninsured.
ASPE Issue Brief

Health Coverage for Women Under the Affordable Care Act

This brief provides an overview of the important role the Affordable Care Act (ACA) has had on increasing access to comprehensive coverage among women. Over 10 million adult women (19-64) gained coverage between 2010 and 2019, as did over 7 million women of reproductive age (15-44). Despite the ACA’s coverage gains, approximately 7.9 million women of reproductive age remain uninsured.
Research Summary

The Affordable Care Act and Its Accomplishments

The Affordable Care Act (ACA) was signed into law on March 23, 2010. Since then, the law has led to an historic expansion of health insurance coverage across all states and all demographic groups within the U.S. This Briefing Book features key findings from two dozen reports published in 2021-2022.
ASPE Issue Brief

Health Insurance Coverage and Access to Care Among Black Americans: Recent Trends and Key Challenges

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.
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.