Evaluation of Affordable Care Act: Access and Impact
This evaluation delves into the impact of the Affordable Care Act on health insurance coverage, exploring achievements such as declining uninsured rates and increased access for those with pre-existing conditions. It also highlights disappointments like smaller-than-projected declines in the uninsured population and reduced choice on health insurance exchanges. The analysis presents a comprehensive look at the ACA's effectiveness and challenges.
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Presentation Transcript
An Evaluation of the Affordable Care Act Todd Easton Pamplin School of Business Slides under Recent Posts at: sites.up.edu/easton/ 1
Unmet Medical Need by Health Insurance Coverage, 2000 to 2010 Genevieve M. Kenney, Stacey McMorrow, Stephen Zuckerman, and Dana E. Goin, A Decade Of Health Care Access Declines For Adults Holds Implications For Changes In The Affordable Care Act, Health Affairs, May 2012 2
1) Declining percent uninsured Year All Ages 18-64 2010 16.0% 22.3% 2016 8.8% 12.3% Percentage-point decline 7.2 10.0 Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January September 2016, Michael E. Martinez, Emily P. Zammitti, and Robin A. Cohen, Division of Health Interview Statistics, National Center for Health Statistics 4
2) Increased access for those with pre- existing conditions By: Forbidding exclusions Requiring community rating 5
3) Improved health insurance policies No annual benefit limits Broad set of covered benefits e.g. pregnancy care, contraception, substance abuse treatment 6
2 ACA Disappointments 1) Smaller-than-projected declines uninsured population 7
Rachel Garfield and Anthony Damico, The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid, Kaiser Family Foundation, Oct. 2016 19 States Did Not Expand Medicaid 8
2) Decreased choice on health insurance exchanges 9