Health Care Coverage and Access


ASPE conducts a variety of research and data analyses on health care coverage and access issues. Listed below by date of publication are ASPE Issue Briefs, Reports, Data Points and other research products on these issues and related topics.



  • Trends in the U.S. Uninsured Population, 2010-2020
    Newly released estimates from the National Health Interview Survey show that 11.1 percent of U.S. residents (or 30.0 million) under age 65 lacked health insurance as of January-June 2020. This number reflects a sharp decline in the number of uninsured Americans since 2010, before implementation of the Affordable Care Act's large coverage expansions. The implementation of the Affordable Care Act increased coverage especially for Blacks, Latinos, Asians, American Indians/Alaska Natives, families with lower incomes, and those living in states that expanded Medicaid. However, the uninsured rate rose between 2016-2019. The issue brief concludes with an overview of current efforts to expand health coverage.


  • Health Plan Choice and Premiums in the 2019 Federal Health Insurance Exchange
    This brief presents information on qualified health plans (QHPs) available in the Exchange for states that use the platform, including estimates for issuer participation, health plan options, premiums, and subsidies in the upcoming open enrollment period (OEP), and trends since the first OEP. National estimates and summary tables are presented in each section of the text.