PPT-Greater Gains in Coverage and Access for Low-Income Adults

Percent of lowincome adults Arkansas Arkansas Arkansas Uninsured Costrelated delay in care Skipped medication because of cost Texas Texas Texas Exhibit 1 Note Analysis in the exhibit excludes Kentucky . may not sum to indicated total because of rounding. . Bars may not sum to 100 percent because of don’t know/refusal to respond. . FPL . refers to federal poverty level. . Source: . The Commonwealth Fund Affordable Care Act Tracking . Kazushi . Takahashi, Institute of Developing Economies (Japan). and . Christopher . B. . Barrett, Cornell University (USA). Deakin. University seminar. May 1, . 2013. . Motivation. . SRI as pro-poor, environmentally friendly innovation:. Jason Madrak. Chief Marketing Officer. Getting Started. Began in July 2011. Substantial state-wide involvement and coordination. Comprehensive consumer research and input. Secured the right resources. Benjamin D. Sommers, Katherine . Baicker. , & Arnold Epstein. Harvard School of Public Health. October, 2012. Background. The Affordable Care Act (ACA) expands . Medicaid in 2014 to all adults up to 133% of the federal poverty level. 2013–2015. Adults . ages 19–64 uninsured. Children . ages 0–18 uninsured. Adults . who went without care . b. ecause . of . costs . in the . past year. Adults with . a usual source . of . care. Race. Age. Firm size. Exhibit 1. Percent of uninsured . adults ages 19–64. Notes: FPL refers to federal poverty level. 138% of the poverty level is $16,243 for an individual or $33,465 for a family of four. 250% of the poverty level is $29,425 for an individual or $60,625 for a family of four.. Insured All Year . with . Medicaid or Private Coverage Were Significantly More Likely to Have . a . Regular Source of Care and Rate Their Health Care Highly Compared with Uninsured Adults. Exhibit 1. All Year Were . Underinsured in 2014, Unchanged from 2010. * . Underinsured defined as insured all year but experienced one of the following: out-of-pocket expenses equaled 10% or more of income; out-of-pocket expenses equaled 5% or more of income if low income (<200% of poverty); or deductibles equaled 5% or more of income. . Who Obtained Coverage Found It Easier to Find an Affordable Plan Than Adults Who Did Not Obtain Coverage. Notes: Segments may not sum to subtotals because of . rounding. . “Obtained marketplace coverage” includes those who visited the marketplace and have . Notes: “Uninsured during the year” includes respondents who were uninsured at the time of the survey or had a gap in coverage during the past 12 months. Private coverage includes adults who were enrolled in either employer plans, marketplace plans, or plans purchased directly off of the marketplaces. Pap test in past three years for females ages 21–64; mammogram in past two years for females ages 40–64; and colon cancer screening in past five years for adults ages 50–64. . Gap. . in States that Have . N. ot Adopted the Medicaid Expansion?. Updated November 2016. NOTES: Medicaid and other public coverage includes: CHIP, other state programs, Medicare and military related coverage. . among the first private foundations started by a woman philanthropist151Anna M Harkness151was established in 1918 with the broad charge to enhance the common good The mission of The Commonwealth Fund March 19, 2019. Thanks to the Affordable Care Act (ACA), more than 20 million people have gained health coverage. About half of the increase reflects gains in private coverage, due to ACA policies such as subsidies for individual market coverage, reforms to the individual insurance market, letting young adults stay on their parents’ plans, and the individual mandate requiring most people to have coverage or pay a penalty. (Congress repealed the individual mandate effective in 2019.) The rest comes from increased Medicaid coverage, due primarily to the ACA’s Medicaid expansion to low-income adults but also to ACA policies making it easier for eligible people to enroll in Medicaid.. is statistically significant . at p<.01 level.. Data: Commonwealth Fund International Health Policy Survey (2023).. A. dults . in the U.S. with lower or average incomes are most likely to skip or delay getting needed health care because of the cost..