Commonwealth Fund March 11, 2024
John Holahan, Michael Simpson, Jason Levitis

TOPLINES

Implementing automatic health insurance enrollment for low-income people who qualify for no-cost coverage through Medicaid or marketplace plans would substantially reduce the number of uninsured, with results varying by reform option

Auto-enrollment for low-income people would also have a significant impact on uncompensated care, reducing provider spending by nearly one-third

Abstract

  • Issue: The number of uninsured Americans remains stubbornly high, and many Americans do not obtain the coverage for which they are eligible — even when insurance is free.
  • Goal: To outline a system for automatically enrolling people with low incomes in health coverage and then model the impact on coverage and spending at the federal and state levels.
  • Methods: The Urban Institute’s Health Insurance Policy Simulation Model...

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Topics: ACA (Affordable Care Act), Insurance, Medicaid, Patient / Consumer
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