Exhibit 1 Fourteen Percent of Adults Were Uninsured in March–June 2017, with Increase Among 35-to-49-Year-Olds Data: The Commonwealth Fund Affordable.

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Presentation transcript:

Exhibit 1 Fourteen Percent of Adults Were Uninsured in March–June 2017, with Increase Among 35-to-49-Year-Olds Data: The Commonwealth Fund Affordable Care Act Tracking Surveys, July–Sept. 2013, April–June 2014, March–May 2015, Feb.–April 2016, March–June 2017.

Exhibit 2 Uninsured Rate Among Adults with Incomes Higher Than Subsidy Range Increased in 2017 Notes: FPL refers to federal poverty level. Data: The Commonwealth Fund Affordable Care Act Tracking Surveys, July–Sept. 2013, April–June 2014, March–May 2015, Feb.–April 2016, March-June 2017.

Exhibit 3 Uninsured Rate in States That Did Not Expand Medicaid Increased in 2017 Notes: We categorize states as expansion states if their state expanded their Medicaid program as of January of the survey year. Data: The Commonwealth Fund Affordable Care Act Tracking Surveys, July–Sept. 2013, April–June 2014, March–May 2015, Feb.–April 2016, March-June 2017.

Exhibit 4 At Least Half of Uninsured Adults Are Likely Eligible for Marketplace Subsidies or Medicaid Eligible for unsubsidized coverage through the individual market or may be eligible for traditional Medicaid Above subsidy eligible range Eligible for expanded Medicaid or subsidized coverage through the marketplace* Eligible for unsubsidized coverage through the individual market 15% 7% 6% 6% 29% 11% 26% <100% FPL, nonexpansion <100% FPL, expansion 100%–<138% FPL, nonexpansion 138%–399% FPL 400%+ FPL Foreign-born Latinos 100%–<138% FPL, expansion Adults ages 19–64 who were uninsured** Notes: FPL refers to federal poverty level. * Uninsured adults with an offer of an affordable employer plan would not be eligible for marketplace subsidies. ** 27 million uninsured adults. Data: The Commonwealth Fund Affordable Care Act Tracking Survey, March–June 2017.

Two of Five Uninsured Adults Are Not Aware of the Marketplaces Exhibit 5 Two of Five Uninsured Adults Are Not Aware of the Marketplaces Are you aware of the marketplaces also known as HealthCare.gov or the marketplace in your state? Income Race Age Notes: FPL refers to federal poverty level. 250% of FPL is $29,700 for an individual or $60,750 for a family of four. Data: The Commonwealth Fund Affordable Care Act Tracking Survey, March–June 2017.

Exhibit 6 Six of 10 Uninsured Adults Who Were Aware of the Marketplaces Did Not Visit Because They Did Not Think They Could Afford Coverage You said that you have not visited the marketplace to shop for health insurance. What are the reasons you did not visit the marketplace? Is it because…? Data: The Commonwealth Fund Affordable Care Act Tracking Survey, March–June 2017.

Exhibit 7 Among Marketplace Visitors Who Did Not Enroll or Get Coverage Elsewhere, Three-Quarters Said They Could Not Find an Affordable Plan Can you tell me the main reason you did not obtain a private health insurance plan or Medicaid coverage when you visited the marketplace? You decided you didn't need health insurance Some other reason Don’t know/refused You could not find a plan you could afford The majority (87%) of uninsured adults who did not enroll because they could not find affordable plans had incomes that made them eligible for tax credits or Medicaid, though these data include those who may be ineligible because of their immigration status (data not shown). Two-thirds (65%) had incomes in the range that made them eligible for subsidies (i.e., from 100 percent to 400 percent of the federal poverty level, or $11,880 to $47,520 annual income for an individual). About one in five (23%) had incomes under 100 percent of poverty. An estimated 16 percent were likely in the Medicaid coverage gap. Thirteen percent had incomes that exceeded the threshold that made them eligible for subsidies (i.e., 400 percent of poverty). <100% FPL, non-expansion .1591 <100% FPL, expansion .0665 100 -137% FPL, non-expansion .104 100 -137% FPL, expansion .0484 138-249% FPL .2998 250 -399% FPL .1944 400%+ FPL .1277 Data: The Commonwealth Fund Affordable Care Act Tracking Survey, March–June 2017.

Adults Who Received Personal Assistance Were More Likely to Enroll Exhibit 8 Adults Who Received Personal Assistance Were More Likely to Enroll When you shopped for health insurance, did you ever receive any personal assistance* to help you select an insurance plan? Notes: * Personal assistance includes a telephone hotline, insurance broker, navigator, or some other form of assistance. Percentages were adjusted for race, education, poverty, age and health status. “Obtained coverage” includes those who visited the marketplace and have had marketplace or Medicaid coverage. We do not include adults who said they did not obtain coverage because they receive coverage through a different source. Data: The Commonwealth Fund Affordable Care Act Tracking Survey, March–June 2017.

Exhibit 9 Tax Credits Have Made the Cost of Marketplace Plans on Par with Employer Plans for Low-Income Adults Paid less than $125 Percent of adults ages 19–64 with single policies 51% All adults 54% 71% Adults with incomes below 250% FPL 48% 24% Adults with incomes 250% FPL or more 57% Notes: FPL refers to federal poverty level. 250% of FPL is $29,700 for an individual or $60,750 for a family of four. Because of rounding, segments may not sum to subtotals and bars may not sum to 100 percent. Data: The Commonwealth Fund Affordable Care Act Tracking Survey, March–June 2017.

Exhibit 10 Lower-Income Adults With Marketplace Plans More Protected from Premium Increases than Adults with Higher Incomes Over the time you have had a health plan through the marketplace, has the amount you have had to pay in premiums increased, decreased, or stayed about the same? Notes: FPL refers to federal poverty level. 250% of FPL is $29,700 for an individual or $60,750 for a family of four. Data: The Commonwealth Fund Affordable Care Act Tracking Survey, March–June 2017.

Exhibit 11 Lower-Income Adults with Marketplace Plans More Likely to View Their Premiums as Affordable Than Adults with Higher Incomes How easy or difficult is it for you to afford the premium costs for your health insurance? Total Incomes below 250% FPL Incomes 250% FPL or more Notes: FPL refers to federal poverty level. 250% of FPL is $29,700 for an individual or $60,750 for a family of four. Segments may not sum to indicated total because of rounding. Data: The Commonwealth Fund Affordable Care Act Tracking Survey, March–June 2017.

Exhibit 12 Cost-Sharing Subsidies Have Lowered Deductibles for Lower-Income Adults with Marketplace Plans Total Incomes below 250% FPL Incomes 250% FPL or more Notes: FPL refers to federal poverty level. 250% of FPL is $29,700 for an individual or $60,750 for a family of four. Data: The Commonwealth Fund Affordable Care Act Tracking Survey, March–June 2017.

Exhibit 13 Most Adults Continue to Be Satisfied with Marketplace or Medicaid Coverage Overall, how satisfied are you with your health insurance? Total Marketplace Medicaid Notes: * For 2014 we included adults who had Medicaid for less than one year, for 2015 we included adults who had Medicaid for less than two years, for 2016 we include adults who had Medicaid for less than three years, and for 2017 we included all adults with Medicaid coverage. Segments may not sum to indicated total because of rounding. Data: The Commonwealth Fund Affordable Care Act Tracking Surveys, April–June 2014, March–May 2015, Feb.–April 2016, March–June 2017.