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Health Insurance Coverage under the ACA as of June 2014

How has the Affordable Care Act changed insurance coverage for the uninsured? Urban Institute researchers have analyzed changes in the number of uninsured between September 2013 — just before open enrollment in the ACA’s Marketplace started on October 1 — and June 2014. Here’s what they found:

  • The uninsured population dropped by 8 million people, decreasing the American population percentage that’s uninsured from 17.9% to 13.9%.
  • Most of the gain in coverage was among the low and middle income adults targeted by the ACA and in the states that implemented Medicaid expansion.
  • All demographic groups benefited but the biggest gains were for the young, male, and minority adults that typically have had high uninsurance rates.

Who are the remaining uninsured? They were more likely to be low income or in states that did not expand Medicaid coverage. While most had heard about the Marketplaces and the individual mandate, fewer (38%) had knowledge of available subsidies. Financial reasons was the most frequent explanation given for lack of coverage.


Long SK and others. Taking stock at mid-year: health insurance coverage under the ACA as of June 2014. Health Reform Monitoring Survey, Urban Institute Health Policy Center, July 29, 2014. http://hrms.urban.org/briefs/taking-stock-at-mid-year.pdf

Shartzer A and others. Who are the remaining uninsured as of June 2014. Health Reform Monitoring Survey, Urban Institute Health Policy Center, July 29, 2014. http://hrms.urban.org/briefs/who-are-the-remaining-uninsured-as-of-june-2014.pdf

Posted by AHA Resource Center (312) 422-2050, rc@aha.org

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