Out-of-pocket spending and premium contributions after implementation of the Affordable Care Act

JAMA Internal Medicine

22 January 2018 - Was implementation of the Affordable Care Act associated with reduced spending on out-of-pocket medical expenses and household premium contributions among non-elderly adults?

In this nationally representative survey of validated spending data from 83 431 US adults, mean out-of-pocket spending decreased by 11.9% in the first 2 years after the insurance expansions, driven by reductions among persons eligible for the Medicaid expansion and those eligible for cost-sharing and premium subsidies on health insurance exchanges. 

Implementation of the Affordable Care Act was associated with reduced out-of-pocket spending for US medical care, particularly among those with lower incomes, but not with reduced premiums.

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Michael Wonder

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Michael Wonder