RESUMO
In response to regulatory changes at the federal level, states that run their own marketplaces have taken steps to stabilize their individual markets. In this comparison of state-based and federally-facilitated marketplaces from 2016-2018, we find that SBMs had slower premium increases (43% vs. 75%), and fewer carrier exits, than FFMs. The total population participating in FFMs declined by 10%, while the enrolled population in SBMs remained largely stable, increasing by 2%. We find that the performance of the ACA marketplaces varies by state and appears to cluster around marketplace types.
Assuntos
Trocas de Seguro de Saúde/estatística & dados numéricos , Seguro Saúde/estatística & dados numéricos , Governo Federal , Previsões , Trocas de Seguro de Saúde/economia , Trocas de Seguro de Saúde/tendências , Humanos , Seguro Saúde/economia , Seguro Saúde/tendências , Medicaid/economia , Medicaid/estatística & dados numéricos , Medicaid/tendências , Patient Protection and Affordable Care Act , Governo Estadual , Estados UnidosRESUMO
We examine twelve-year trends in the Latino uninsured population by ethnic subgroup and immigration status. From 1993 to 1999, most Latino subgroups, particularly Puerto Ricans, had large decreases in Medicaid coverage. For some subgroups these were offset by increases in employer coverage, but not for Mexicans, resulting in a four-percentage-point increase in their uninsured population. During 2000-2004, Medicaid/SCHIP expansions benefited most subgroups and mitigated smaller losses in employer coverage. However, during 1993-2004, the percentage of noncitizen Latinos lacking coverage increased by several percentage points. This was attributable to Medicaid losses during 1993-1999 and losses in employer coverage during 2000-2004.