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As the Economy Improves, the Number of Uninsured Is Falling But Not Because of a Rebound in Employer Sponsored Insurance

Insurance coverage has rebounded since the end of the Great Recession, mostly because of increases in Medicaid coverage. Employer coverage stabilized after the recession, but mostly because of policies allowing young adults to stay on parents’ coverage. For other age groups, employer coverage rates are still falling. Ongoing shifts in employment status, industry type, income, demographics, and region have affected changes in coverage nationally.

Uncompensated Care for the Uninsured in 2013: A Detailed Examination

This report provides estimates of spending for uncompensated care, in 2013, just before implementation of health reform’s major coverage provisions. The report estimates the amount of uncompensated care provided, analyzes the site of care for uncompensated services, and details sources of funding for uncompensated care. These estimates provide an important baseline against which to measure major changes that are occurring under the ACA.

The Affordable Care Act and Insurance Coverage in Rural Areas

Rural populations face disparities compared to metropolitan populations in health care. While rural individuals were not more likely to be uninsured than metropolitan counterparts pre-Affordable Care Act, they were poorer and less likely to have private insurance. With coverage changes in the ACA involving an expansion of Medicaid for poor and near-poor populations, decisions by states with large rural populations may cause rural residents to have disparate access to coverage, which may exacerbate cost and access barriers to health care.

Medicaid Expansion in Pennsylvania

This fact sheet describes Pennsylvania’s approved 1115 waiver demonstration, Healthy PA, which will implement the ACA’s Medicaid expansion.