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Healthcare Coverage & Access

Reports

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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

Medicaid: The Health and Economic Benefits of Expanding Eligibility

This Issue Brief examines the impact of Medicaid throughout its six decades and highlights the importance of Medicaid coverage for low-income children and adults. The brief reviews studies showing that access to Medicaid coverage is associated with a significant improvement in health and mortality.
ASPE Issue Brief

Trends in Medicaid and CHIP Telehealth, 2019-2021 Part I: Medicaid and CHIP Telehealth Utilization by Enrollee Characteristics

The COVID-19 pandemic dramatically increased the number of Medicaid and CHIP services delivered via telehealth to all enrollees, regardless of age or race and ethnicity. This Issue Brief examines changes in Medicaid utilization of telehealth services by enrollee characteristics.
Fact Sheet

State Fact Sheets: Impacts of the IRA and ACA on Lowering Health Care Costs, 2024

These Fact Sheets highlight health care cost savings achieved under the Inflation Reduction Act (IRA) and the Affordable Care Act (ACA) for each of the fifty states and the District of Columbia. Enrollee savings on Medicare Part D out-of-pocket costs, insulin, vaccines, and Marketplace premiums are presented.
ASPE Issue Brief

Health Insurance Coverage and Access to Care among American Indians and Alaska Natives: Recent Trends and Key Challenges

The uninsured rate among non-elderly American Indians and Alaska Natives (AI/ANs) decreased from 32.4 percent in 2010 to 19.9 percent in 2022 – however, the AI/AN population continues to have the highest uninsured rate compared to other racial and ethnic populations.
ASPE Issue Brief

Health Insurance Coverage and Access to Care Among Asian Americans, Native Hawaiians, and Pacific Islanders: Recent Trends and Key Challenges

Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPIs) experienced larger relative gains in health insurance coverage than any other racial or ethnic group in the United States since the Affordable Care Act was enacted in 2010.
ASPE Issue Brief

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

The uninsured rate for nonelderly Latinos decreased from 32.7 percent to 18.0 percent, from 2010 to 2022, however, Latinos are more than twice as likely to be uninsured as non-Latino Whites.
ASPE Issue Brief

Improving Access to Affordable and Equitable Health Coverage: A Review from 2010 to 2024

Recent legislative and administrative policy initiatives have built on the Affordable Care Act’s (ACA) expansion of health insurance coverage and improvements in access to and utilization of health care services.
ASPE Issue Brief

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

Since the implementation of the Affordable Care Act’s coverage provisions, the uninsured rate among nonelderly Black Americans decreased by 10 percentage points, from 20.9 percent in 2010 to 10.8 percent in 2022.
ASPE Issue Brief

HealthCare.gov Enrollment by Race and Ethnicity, 2015-2023

This issue brief presents Marketplace enrollment and plan selections by race and ethnicity among 2015-2023 Open Enrollment Period enrollees in HealthCare.gov states using combined self-reported race and ethnicity information with imputed data for missing values.