Individuals with Special Needs and Health Reform: Adequacy of Health Insurance Coverage
This issue brief examines the health care needs and health costs of individuals with special health challenges, focusing on those with low-to-moderate incomes. It finds that even under a benefit package more generous than most offered in the private insurance market, individuals and families can face significant gaps in coverage and large out-of-pocket costs, especially if they have serious health conditions.
The findings have implications for the health reform debate as policymakers consider minimum standards for coverage, required cost sharing amounts and limits on covered benefits in health plans.
Issue Brief (.pdf)
also of interest
- The Impact of the Children’s Health Insurance Program (CHIP): What Does the Research Tell Us?
- What is Medicaid's Impact on Access to Care, Health Outcomes, and Quality of Care? Setting the Record Straight on the Evidence
- The Role of Medicaid for Adults With Chronic Illnesses
- Faces of the Medicaid Expansion: Experiences and Profiles of Uninsured Adults Who Could Gain Coverage