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Research

Despite reforms, many still go without health coverage

Oct 26 2015
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Nearly 16 million people who are eligible for Medicaid or some type of subsidy under the Affordable Care Act still go without coverage, according to a new report from the Kaiser Family Foundation.

“Aetna’s mission is to build a healthier world and an important part of that is improving access to health insurance,” said Aetna Chairman and CEO Mark T. Bertolini. “A lot of progress has been made on that front, but clearly there’s a lot more that needs to happen.”

An estimated 15.7 million of the 32.5 million non-elderly people in the United States who have no health insurance are eligible for either Medicaid or subsidized marketplace coverage.

The Kaiser analysis, based on recent census data, finds that 15.7 million of the 32.5 million non-elderly people in the United States who have no health insurance are eligible for either Medicaid or subsidized marketplace coverage. That figure includes adults who are eligible for Medicaid (5.4 million), children eligible for Medicaid or the Children’s Health Insurance Program (3.2 million), and the non-elderly uninsured who are eligible for premium tax credits to purchase coverage through a marketplace (7.1 million.)

The remainder of the uninsured population includes those who are ineligible for Medicaid or subsidies because of their income, their immigration status or their employer-sponsored insurance plans, or they live in one of the 20 states that did not choose to expand Medicaid eligibility.

According to the researchers, improved outreach and education around health insurance coverage and financial assistance may help to increase the numbers of insured.