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RWJF and Urban paper examines coverage trends among different groups targeted by the ACA

Posted on March 15, 2012 | No Comments

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In a report entitled, “A Decade of Coverage Losses: Implications for the Affordable Care Act,” the Robert Wood Johnson Foundation (RWJF) and the Urban Institute analyze coverage trends among children, parents, and adults without dependent children as a guide to coverage changes that could be expected in coming years without the Affordable Care Act. The report uses the 2000 to 2010 Annual Social and Economic (ASEC) Supplement to the Current Population Surveys (CPS) to project such trends. The study provides overall trends and trends by income, using the ACA’s modified-adjusted gross income (MAGI) to categorize individuals. The paper also explores the extent to which changes in income distribution contributed to the last decade’s coverage patterns.

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A new survey conducted by the Commonwealth Fund stated that young adults, specifically those aged 19-29, actually want and enroll in health insurance. This age group, referred to as the "young invincibles," is the targeted demographic for the Affordable Care Act (ACA), as their perceived invincibility resulting from young age and generally good health typically causes them to forgo health insurance. The Commonwealth Fund found this notion to not be factual, as two-thirds of individuals in this age group accepted health insurance offered by their employers. Additionally, 7.8 million of the 15 million young adults enrolled in their parents' health plans gained this coverage from the dependent coverage provision of the ACA, which allows dependents to remain on a parent's insurance plan until the age of 26. In spite of this coverage surge, the Commonwealth Fund found that only 27% of young invincibles surveyed are actually aware of the health insurance Marketplaces.
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