Strengthening the ACA for the long term

New England Journal of Medicine

30 November 2017 - Most complaints about the Affordable Care Act (e.g., high and rising insurance premiums, large deductibles, and insurer exits) relate to non-group insurance markets. 

These markets, the ones that were the most dysfunctional before the ACA, provide coverage to just 7% of the non-elderly population (under 65 years of age) and 6% of the full U.S. population. The ACA’s changes to employer-sponsored insurance plans, Medicare, and Medicaid were more limited, and enrollees are generally satisfied with those coverage options. 

The problems with the non-group market, though significant, are fixable, and correcting them does not necessitate disruption of coverage for the remaining 94% of the population.

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Michael Wonder

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Michael Wonder