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.
Health Insurance
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Unwinding the Medicaid Continuous Enrollment Provision: Projected Enrollment Effects and Policy Approaches
Research Summary
Environmental Scan on Consolidation Trends and Impacts in Health Care Markets
This contractor report describes the landscape of market consolidation across the U.S. health care system and analyzes the evidence on the price, cost, and quality effects of consolidation.
ASPE Data Point
National Uninsured Rate Reaches All-Time Low in Early 2022
This Data Point examines new Health Interview Survey data to assess recent changes in coverage, finding that the uninsured rate declined throughout 2021 and early 2022 – reaching a historic low of 8.0% by the first quarter of 2022. This reflects 5.2 million people gaining coverage since 2020.
ASPE Issue Brief
Marketplace Coverage and Economic Benefits: Key Issues and Evidence
This report highlights the impacts of the Affordable Care Act's Marketplace subsidies on coverage rates among self-employed adults and small business owners, based on tax data from the Department of Treasury and national survey data.
Report
Linking State Health Care Data to Inform Policymaking: Opportunities and Challenges
This posting includes a report prepared by the RAND Corporation, “State All Payer Claims Databases Understanding the Current Landscape and Challenges to Use,” which builds on a 2021 report “The History, Promise and Challenges of State All Payer Claims Databases.” The new report provides additional detail on the objectives of and use cases for APCDs, the current APCD landscape, and implementatio
Report
Imputation of Race and Ethnicity in Health Insurance Marketplace Enrollment Data, 2015 – 2022 Open Enrollment Periods
The Assistant Secretary for Planning and Evaluation (ASPE) contracted with RAND Health Care to develop methods for imputing race and ethnicity among people who selected Marketplace plans on HealthCare.gov but did not report their race or ethnicity, and to apply these methods to data from the 2015 to 2022 Open Enrollment Periods.
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.