This brief was prepared with the Rockefeller Institute of Government, the public policy research arm of the State University of New York. It is designed to provide some insight into the underlying economic and fiscal conditions in expansion and non-expansion states leading up to 2014 by looking at the typical (i.e. median) state for each group. This analysis will provide a framework against which to measure the impact of expansion decisions going forward. The sections focus on: demographics, tax capacity and revenue, state budgets and employment.
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As additional states consider whether to implement the ACA Medicaid expansion, some have raised pursuing waiver authority to tie Medicaid eligibility for adults under the expansion to work requirements. This fact sheet profiles uninsured adults who could gain Medicaid coverage under the ACA by their relationship to the workforce and job-based coverage.
Congress is considering proposals to subsidize COBRA coverage. We discuss the group market coverage that would be extended by COBRA subsidies, how COBRA costs and coverage compare to other common coverage options for those who lose job-based coverage (ACA Marketplace plans or Medicaid), and key considerations regarding COBRA subsidies for consumers and employers.
In this May 2020 post for The JAMA Health Forum, Larry Levitt explores how the massive and rapid job losses of the past few months will test the ACA’s coverage safety net – and how different policies could strengthen or weaken it.
As state and local governments ease social distancing orders, many employers and workers face decisions about a physical return to the workplace. Drew Altman’s latest Axios column analyzes the numbers and finds that, “An estimated 25-30 million people are caught in the middle of the coronavirus economy — they’re unable…
As the country struggles to recover from the impact of the Great Recession, one much discussed and analyzed economic measure has been the number of Americans who are unemployed. NPR News and the Kaiser Family Foundation partnered on the Long-Term Unemployed Survey to better describe the experiences and views of…
A Comprehensive Review of Research Finds That the ACA Medicaid Expansion Has Reduced the Uninsured Rate and Increased Access to Care in Expansion States
Multiple studies find that the Affordable Care Act’s Medicaid expansion has increased coverage, with enrollment exceeding expectations in some states, while producing budget savings for states and reductions in uncompensated care costs for hospitals, according to a Kaiser Family Foundation review of 61 studies and policy reports. The literature review provides…
This brief highlights voices from adult focus group participants with low and moderate incomes who gained Medicaid or Marketplace coverage following implementation of the ACA. It focuses on work, including work status, the new labor market, job benefits, and the role of ACA coverage for those with non-traditional jobs.
This brief explains the various provisions in the American Rescue Plan (ARP) that increase and expand the affordability of coverage for people enrolled in Marketplace health plans or COBRA.
To help shed light on recent trends in the U.S. employment market, the Kaiser Family Foundation partnered with the New York Times and CBS News to conduct a survey of adults between the ages of 25-54 (generally considered to be prime working age) who are not currently employed. Rather than focusing only on those who meet the official government definition of unemployment, this survey takes a broad look at all prime-age adults who are not working, regardless of their desire for work or job-seeking activities. While the official U.S. unemployment rate has declined since the start of the recession in late 2007, the total share of adults who are not employed has risen in recent years. This survey examines the views and experiences of this broad group of prime-age workers who are not employed, including how they get by financially, the factors to which they attribute their lack of employment, what it would take to get them working, and – for those who used to work – how being out of work has changed their lives.