Every year at this time I bind sheaves of four blog posts for two submissions to the National Institute of Health Care Management's Digital Health Care Media Awards. Here I'd like to post an outtake: a series of posts probing some under-the-radar facts about the the ACA marketplace and its prospective enrollees. That is:
- The ACA marketplace and Medicaid expansion have never been tested by recession but stand ready as an economic shock absorber.
- U.S. income gains since 2014 have affected marketplace participation.
- Yearly apparent declines in on-exchange enrollment since 2016 are largely illusory.
- Nonetheless, persistent low takeup bespeaks inadequate subsidies.
- A recent increase in the uninsured population is concentrated at higher incomes.
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