Clear all

29 results found

reorder grid_view

Racial, Ethnic, and Language Concordance between Patients and Their Usual Health Care Providers

March 23, 2022

Patients of color are less likely than White patients to report being the same race as their healthcare providers. The disparity could have negative implications for patient-provider relationships and patient health outcomes.

Citizen Children with Noncitizen Parents Experienced Health Insurance Coverage Losses between 2016 and 2019

August 12, 2021

Uninsurance among citizen children with any noncitizen parents rose from 6.0 to 8.0 percent between 2016 and 2019. This increase reversed much of the coverage gains they had experienced between 2013 and 2016 and was larger than that for citizen children with only citizen parents. The Medicaid/Children's Health Insurance Program participation rate among eligible citizen children with noncitizen parents also fell from 93.1 to 90.8 percent between 2016 and 2019, likely contributing to these children's increase in uninsurance. These changes widened coverage gaps for citizen children with noncitizen parents relative to those with only citizen parents. They also align with findings that the proposed expansion of the "public charge" rule to include use of noncash benefits in applications for lawful permanent residence and other federal immigration policy shifts beginning in 2017 deterred some immigrant families from using public programs for fear of immigration-related consequences.

State and Local Coverage Changes under Full Implementation of the Affordable Care Act

July 24, 2013

The Affordable Care Act (ACA) of 2010 includes a number of new policies intended to substantially reduce the number of people without health insurance. Key provisions to be implemented in 2014 include new health insurance exchanges, subsidies for coverage in those exchanges, health insurance market reforms, and an individual mandate. The ACA also includes an expansion of Medicaid coverage to individuals with incomes up to 138 percent of the Federal Poverty Level ($15,856 for an individual or $26,951 for family of three in 2013). The Medicaid expansion under the ACA became a state option following the Supreme Court ruling in June of 2012. At this point, it is not clear how many states will elect to expand Medicaid coverage. If all states were to do so, enrollment in Medicaid is projected to increase nationwide by about 18.1 million and the uninsured would decline by 23.1 million. This brief provides highlights from new state and sub-state estimates of how the number and composition of individuals enrolled in Medicaid/CHIP would change with full implementation of the ACA, including the Medicaid expansion (see These estimates provide more detail on the projected coverage changes under the ACA at the state level than in prior research. They also provide new information on the expected coverage changes resulting from the ACA at the local level in all states. This analysis demonstrates that there is substantial variation across and within states in the magnitude and composition of the population that is projected to gain Medicaid coverage under the ACA. These estimates also provide guidance on the areas that are likely to experience the largest declines in the uninsured and where the residual uninsured are likely to be concentrated.

Uninsured Veterans and Family Members: State and National Estimates of Expanded Medicaid Eligibility Under the ACA

March 25, 2013

Analysis of the 2008-2010 American Community Survey indicates that 535,000 uninsured veterans and 174,000 uninsured spouses of veterans -- or 4 in 10 uninsured veterans and 1 in 4 uninsured spouses -- have incomes below 138 percent of poverty and could qualify for Medicaid or new subsidies for coverage under the Affordable Care Act. Most have incomes below 100 percent of poverty and will only have new coverage options if their state expands Medicaid. Since uninsurance is related to greater problems accessing care, increased Medicaid enrollment could improve the likelihood that their health care needs are being met.

Uninsured Veterans and Family Members: Who Are They and Where Do They Live?

May 24, 2012

Examines uninsurance rates and access to health care among veterans and family members by state, time of service, age, education, and marital and employment status. Points to high uninsurance in states that have been slow to implement federal reform.

Addressing Barriers to Health Insurance Coverage Among Children: New Estimates for the Nation, California, New York, and Texas

May 8, 2012

Outlines obstacles to children's health coverage under federal healthcare reform such as living with neither parent or parents being ineligible for Medicaid. Estimates the number and share of such children among all, uninsured, and CHIP-eligible children.

Virtually Every State Experienced Deteriorating Access to Care for Adults Over the Past Decade

May 8, 2012

Presents state-by-state data on 2000-10 changes in the likelihood of non-elderly adults and a subgroup of uninsured adults having unmet medical needs due to cost, receiving a routine checkup, and having a dental visit.

Federal Health Expenditures on Children on the Eve of Health Reform: A Benchmark for the Future

March 19, 2012

Analyzes trends in federal spending on children's health in 2010, changes over the past fifty years, factors that affect Medicaid and Children's Health Insurance Program coverage under the Affordable Care Act, and implications for federal spending.

A Decade of Coverage Losses: Implications for the Affordable Care Act

February 24, 2012

Examines 2000-10 trends in employer-sponsored health insurance and Medicaid/CHIP coverage by income group; contributing factors, including a growing low-income population; and projected coverage among low-income adults under the 2010 healthcare reform.

Coverage Gains for Children: Increased Participation in Medicaid and CHIP in 2009

August 16, 2011

Updates analyses of patterns in Medicaid and Children's Health Insurance Program enrollment by state, including increases due to eligibility expansion and those due to income declines. Offers insights into Medicaid expansion under healthcare reform.

How Can California Policymakers Help Low-Income Children Benefit From National Health Reform?

June 30, 2011

Outlines healthcare reform provisions to expand coverage and access to care; factors that shape those gains; and state policies to maximize them, such as reforming eligibility determination systems, enabling telemedicine, and building safety-net capacity.

Addressing Coverage Challenges for Children Under the Affordable Care Act

May 26, 2011

Explores reform implementation issues for ensuring that children in families with varying eligibility for different types of insurance have access to coverage. Estimates the number of such children and examines the implications of specific provisions.