Health Affairs April 10, 2020
Did the Affordable Care Act (ACA) usher in a revolution in US health care? Ten years after the law was enacted, it is fair to say that the ACA has fallen short of achieving key health reform goals.
Arguably, the primary focus of the ACA was to increase the number of Americans with health insurance coverage. New subsidies for families buying health insurance on their own through the ACA’s exchanges and expanded eligibility for Medicaid brought health coverage to millions of lower-income households who otherwise would have remained uninsured. New federal rules requiring private insurers to offer coverage on the same terms to everyone guaranteed that individuals with preexisting conditions could buy insurance without benefit exclusions or higher premiums....
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