States that expanded their Medicaid programs in accordance with the Affordable Care Act saw a measurable increase in the share of adults with full-year health coverage between 2019 and 2022 while states that did not expand Medicaid saw no measurable change in the share of adults with full-year coverage.
Researchers note that adults with gaps in health coverage are more likely to miss care they may need and experience worse health outcomes when compared to those with continuous health coverage.
The nonprofit Urban Institute is dedicated to elevating the debate on social and economic policy. For nearly five decades, Urban scholars have conducted research and offered evidence-based solutions that improve lives and strengthen communities across a rapidly urbanizing world. Their objective research helps expand opportunities for all, reduce hardship among the most vulnerable, and strengthen the effectiveness of the public sector. Visit the Urban Institute’s Health Policy Center for more information specific to its staff and its recent research.
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