Commonwealth Fund June 10, 2021
Linda J. Blumberg, John Holahan, Jason Levitis

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Automatic health insurance enrollment could help achieve near-universal coverage, especially if paired with a public plan option

A comprehensive automatic enrollment strategy for health insurance would reduce the number of uninsured in the U.S. by 24.6 million, at a cost to the federal government of about $140 billion in 2022

Abstract

  • Issue: Automatic enrollment is receiving increased policy attention as a means of achieving universal coverage. Auto-enrollment also could have eliminated insurance gaps that occurred during the COVID-19 pandemic. However, it could face resistance from some Americans who would newly be expected to pay premiums. The approach also raises difficult design and implementation issues.
  • Goal: Explore how two auto-enrollment strategies, one affecting all legal residents and another affecting...

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Topics: ACA (Affordable Care Act), Govt Agencies, Healthcare System, Insurance, Patient / Consumer
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