A new report by the Robert Wood Johnson Foundation estimates the effects of the Affordable Care Act (ACA) on states, in particular the increases in insurance coverage, subsidies in the exchanges, Medicaid enrollment and federal spending.
The report, written by Urban Institute researchers, uses the Institute’s Health Insurance Policy Simulation Model (HIPSM) to predict results as if ACA were fully implemented in 2011 and contrasts the results with the pre-reform baseline estimates for the year. The results complement an earlier policy brief that analyzed the national impact of the Affordable Care Act.
Among the researchers’ findings:
- Uninsurance rates among the nonelderly would decrease in all 50 states and in Washington, D.C., ranging from 1 percentage point in Massachusetts to 17 percentage points in Texas.
- Nationally, 9 percent of the nonelderly would obtain coverage through the new exchanges and just over $33 billion would be spent on premium and cost-sharing subsidies. Subsidies per capita would range from $85 in New England to $142 in West South Central states.
- The estimated 12 million newly eligible Medicaid enrollees would cost $54 nationally, of which the federal government would pay about $45 billion.
- There would be $82.3 billion in new federal Medicaid and exchange subsidies flowing to the states, led by California ($9.5 billion), Texas ($8.2 billion) and Florida ($6.7 billion).
The report, by Matthew Buettgens, John Holahan and Caitlin Carroll, features tables and maps detailing ACA outcomes in all 50 states and the District of Columbia.
Urban Institute Real Time Policy Analysis
These reports, also called "quick strikes," are a series of timely briefings examining a wide variety health insurance coverage issues in the United States.Learn more about the series
- About this grant
RWJF Scholar examines neighborhood-based death rates from opiate-based painkiller overdoses, compared with heroin overdose deaths.
RWJF Nurse Faculty Scholar Jennifer Bellot writes about losing her grandmother to complications from a medical error.
Learn how The Robert Wood Johnson Foundation is dedicated to building a culture of health in Risa Lavizzo-Mourey's 2014 annual message.
A new paper reports on the proceedings of an unprecedented meeting that brought together diverse leaders from community colleges around the ...
The County Health Rankings & Roadmaps can be put to use right away to help create a culture of health in your community.
How the tragic loss of a dancer's leg led to a Culture of Health within the team that restored her mobility.
Noteworthy quotes about nurses and nursing, from the April 2014 issue of Sharing Nursing’s Knowledge, RWJF's nursing e-letter.
In the April 2014 Sharing Nursing's Knowledge, British nurse Nathan Filer wins a prestigious literary prize for his debut novel about mourni...
Recent Research About Nursing, in the April 2014 Sharing Nursing's Knowledge e-letter.
The President's 2015 budget proposal would help break down barriers to nurse practitioners' and physician assistants' practice.
The reconvened Commission to Build a Healthier America will provide new guidance in three key areas: early childhood, healthy communities, a...
Developing small community homes as alternatives to nursing homes, this radical, new national model for skilled nursing care returns control...