The Affordable Care Act identified ten categories of services and items included in essential health benefits (EHBs). All ten categories of services and items must be covered by insurance offered in the individual and small group markets as of January 1, 2014.
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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Essential Health Benefits: Comparing Benefits in Small Group Products and State and Federal Employee Plans
Report
Variation and Trends in Medigap Premiums
This report examines the variation in Medigap premiums, recent trends in premium growth and policies that experience relatively high premium growth. The report also compares the premium growth over different segments of the entire time period studied, and to changes in enrollment in both Medigap policies and the Medicare Advantage Program. [38 PDF pages]
Promoting Public Benefits Access Through Web-Based Tools and Outreach
By: Jacqueline Kauff, Emily Sama-Miller, Gretchen Rowe, Cicely Thomas, and Libby Makowsky Mathematica Policy Research, Inc. Submitted to: U.S. Department of Health and Human Services (HHS) Assistant Secretary for Planning and Evaluation (ASPE) Contract Number: HHSP23320095642WC/HHSP23337018T Mathematica Reference Number: 06858.008
Report
2.5 Million Young Adults Gain Health Insurance Due to the Affordable Care Act
Results released December 14, 2011, by the National Center for Health Statistics demonstrate that the extension of dependent coverage up to age 26 has increased the number of young adults with health insurance, by even more than prior analyses had suggested.
FY2013 Federal Medical Assistance Percentages
Federal Financial Participation in State Assistance Expenditures; Federal Matching Shares for Medicaid, the Children’s Health Insurance Program, and Aid to Needy Aged, Blind, or Disabled Persons for October 1, 2012 through September 30, 2013
Research Brief
Actuarial Value and Employer-Sponsored Insurance
About this Research Brief This paper explores the distribution of plan AVs for individuals enrolled in employer-sponsored insurance. This brief was written by PierreL. Yong, M.D., M.P.H., John Bertko, F.S.A., M.A.A.A., Richard Kronick, Ph.D.
Report
At Risk: Pre-Existing Conditions Could Affect 1 in 2 Americans
Under the Affordable Care Act, starting in 2014, Americans cannot be denied coverage, be charged significantly higher premiums, be subjected to an extended waiting period, or have their benefits curtailed by insurance companies because of some type of pre-existing health condition.