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This report exhibits the findings from the Marketplace Affordability Project that examined the causes of high out-of-pocket healthcare costs for low-income marketplace enrollees and identified federal policy solutions.
In this blog and infographic, SHADAC researchers use recently released data from the Medical Expenditure Panel Survey-Insurance Component (MEPS-IC) to analyze private-sector ESI and provide an initial snapshot of estimates for 2022 on a national level and within the states.
This blog reviews the promise of price transparency as a tool to understand what is driving healthcare cost growth and target strategies to constrain it.
This blog discusses the impact of the Braidwood Ruling depending on source of insurance.
This blog reviews the primary drivers of the erosion occurring in ESI and identifies three recognized policy options to improve affordability: regulating prices, reducing anti-competitive behavior, and improving price transparency.
This blog provides a checklist of actions state-based Marketplaces and state departments of insurance can take to reduce gaps in coverage and minimize disruptions in care.
This blog examines how ERISA works and the obligations it puts on employer health plans.
This blog assesses proposed policy options designed to improve the affordability of ESI, the state of the evidence supporting or refuting the proposed policy change, and opportunities for adoptions.
This blog looks into how the adequacy of these plans has been eroding over time, and it presents policy options that may control and reduce healthcare prices and alleviate the burden on many low-income working Americans.
This blog discusses how these reforms could bring in up to $344 million to the state and decrease the uninsured rate among people eligible for but not enrolled in subsidized marketplace coverage by up to 12% over five years.
For the third time, the Department of Health and Human Services’ Office of Civil Rights (OCR) has issued a Notice of Proposed Rulemaking to effectuate the application of civil rights protections to the health care industry under Section 1557 of the Affordable Care Act (ACA). This blog discusses whether the rule, through a combination of timing, political will, and policy insight, will result in regulations with staying power.
This blog examines how employers’ decisions on whether and how to cover travel costs related to abortion care will have a significant impact on whether workers are able to access abortion services far from home.
This blog post reviews policy approaches to providing greater access to services that treat and manage mental health and substance use disorders (MH/SUD).
This blog provides updates focused on health insurance coverage, insurance markets, and how people are affected by insurance reform.
This commentary details how Oregon’s state employee health plan is implementing multiple approaches to contain high costs and ensure a level of predictability for its public employees and their health plan.
This interactive map highlights the status of individual state’s legislation to address health care costs in 2021.
This report examines the effect the COVID-19 pandemic has had on the small group insurance market.
This brief explores the ways in which public and private health insurance coverage options bolstered by the Affordable Care Act are mitigating the impact of employer-sponsored insurance losses during the COVID-19 pandemic.
This brief compares four studies that project the effects of the COVID-19 recession on employment-based health insurance coverage and the number of uninsured people in 2020.
This report compares 2017 to 2018 changes in insurance coverage across three national surveys: The American Community Survey, Current Population Survey, and National Health Interview Survey.
This report uses a microsimulation model to incorporates data on employment losses by industry, state, and demographic characteristics, allowing researchers to simulate employment losses and associated health insurance coverage.
This report examines insurer responses to the COVID-19 pandemic to assess the effect the pandemic has had on their companies as well as actions they have taken to aid in the pandemic response.
This commentary discusses how job losses and reductions in hours have resulted in millions losing employer coverage or the income needed to pay premiums, increasing the uninsured rate.
This commentary explains how, due to the loss of employer-sponsored insurance from the economic fallout of COVID-19, states may continue to see an increase in Medicaid enrollment.
This report estimates how health insurance coverage could change as millions of workers lose their jobs because of the slowdown in economic activity resulting from public health efforts to reduce the spread of the coronavirus.
This brief estimates that in the four weeks leading up to April 11, 2020, as many as 18.4 million individuals in the United States may be at risk of losing their employer-sponsored health insurance (ESI) coverage, including policyholders and their dependents.
This report examines the kinds of health insurance unemployed workers have and how coverage patterns have shifted under the Affordable Care Act (ACA).
Using data from the American Community Survey and the Current Population Survey, this report assesses whether coverage gains from 2010 to 2016 were associated with changes in labor market outcomes across occupations.
This report investigates the work patterns of Medicaid beneficiaries in Kentucky who are are potentially subject to Medicaid work requirements. It finds that the structure of Kentucky’s Medicaid waiver does not seem to align with the reality of some working enrollees’ lives, and that working enrollees losing coverage may not have access to an employer plan.
We assessed rates of employer health insurance offer, take-up, and coverage in June 2013 and March 2017 among workers. Overall, offer rates remained stable, and take-up and coverage rates increased. In Medicaid expansion states, the share of workers with family incomes at or below 138 percent of the federal poverty level who had employer-based coverage held steady, while uninsurance rates declined.
In response to President Trump’s October 12 executive order (EO), the U.S. Department of Labor (DOL) published proposed rules to expand the availability of health coverage sold through associations to small businesses and self-employed individuals. The full brief provides state health officials with a detailed review of the content of the proposed rule and examines the implications for states.
This report provides an overview of three areas of value-based innovation and then affords a deeper examination into specific examples of state employee purchaser activity in California, Connecticut, Massachusetts, Minnesota, Tennessee, and Washington.
This SHADAC chartbook uses data from the Medical Expenditure Panel Survey-Insurance Component (MEPS-IC) to highlight the experiences of private-sector workers with employer-sponsored insurance (ESI) from 2012 through 2016 at the national level and in the states. The ESI chartbook is accompanied by state-level fact sheets summarizing key ESI characteristics from 2012 to 2016.