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Duration Of Uninsured Spells For Nonelderly Adults Declined After 2014
Jessica P Vistnes1, Joel W Cohen2
1Jessica P. Vistnes ( Jessica.Vistnes@ahrq.hhs.gov ) is a senior economist at the Agency for Healthcare Research and Quality, in Rockville, Maryland.
Health Affairs (Project Hope)
|June 5, 2018
Summary
The Affordable Care Act (ACA) reduced uninsurance durations for nonelderly adults. This coverage improvement was most significant for individuals with pre-existing health conditions.
Area of Science:
- Health policy research
- Public health
- Health economics
Background:
- The implementation of the Affordable Care Act (ACA) aimed to expand health insurance coverage.
- Understanding the impact of ACA coverage provisions on insurance continuity is crucial for public health policy.
- Pre-existing health conditions represent a significant barrier to obtaining affordable health insurance.
Purpose of the Study:
- To evaluate the effect of ACA coverage provisions on the duration of uninsurance among the nonelderly population.
- To assess whether the ACA's impact on uninsurance duration differed for individuals with pre-existing health conditions.
Main Methods:
- Utilized longitudinal data from the Medical Expenditure Panel Survey-Household Component (MEPS-HC).
- Compared periods of being uninsured for nonelderly respondents before and after the implementation of ACA coverage provisions (2012-13 and 2013-14 vs. 2014-15).
Main Results:
- Nonelderly respondents experienced significantly shorter periods of being uninsured in 2014-15 compared to 2012-13 and 2013-14.
- The reduction in uninsurance duration was particularly pronounced among individuals with pre-existing health conditions.
Conclusions:
- The ACA's coverage provisions were effective in reducing the duration of uninsurance for the nonelderly population.
- The ACA demonstrated a positive impact on insurance continuity for vulnerable populations, including those with pre-existing health conditions.
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