This report is one in a series of briefs examining coverage trends among different groups targeted by ACA coverage expansions.
A report funded by the Robert Wood Johnson Foundation, as part of its Affordable Care Act (ACA) Implementation Monitoring and Tracking Series, shows that the ability of U.S. adults to access basic health care services has declined in nearly every state over the last decade. Adults without health insurance saw larger declines in the ability to obtain basic health care services, compared to those with coverage. By 2010, almost half of uninsured adults (48.1%) had an unmet health need due to cost, compared to 11.2 percent of insured adults.
- 1. A Decade of Coverage Losses: Implications for the Affordable Care Act
- 2. Virtually Every State Experienced Deteriorating Access to Care for Adults Over the Past Decade
- 3. The Financial Burden of Medical Spending Among the Non-Elderly, 2010
- 4. Deteriorating Health Insurance Coverage from 2000 to 2010: Coverage Takes the Biggest Hit in the South and Midwest
- 5. Uninsurance is not Just a Minority Issue: White Americans Are a Large Share of the Growth from 2000 to 2010
- 6. Declining Health Insurance in Low-Income Working Families and Small Businesses
- 7. Trends in U.S. Health Care Spending Leading Up to Health Reform
The share of adults experiencing unmet medical needs due to cost rose by 6.0 percentage points from 2000 to 2010. For uninsured adults, it rose by 10.8 percentage points.
The share of adults receiving a routine check-up decreased nationwide by 5.1 percentage points, with the share among uninsured adults decreasing by 11.6 percentage points.
The share of adults receiving a dental visit dropped by 3.9 percentage points, while the share among uninsured adults fell by 9.0 percentage points.
ACA Implementation Monitoring and Tracking: Quantitative Analysis Reports
These reports examine health reform implementation issues ranging from Medicaid expansion to state insurance exchanges in all 50 states and the District of Columbia.View the series
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