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Division of Health Care Access and Coverage (HAC)

The Division of Health Care Access and Coverage (HAC) is responsible for issues relevant to the Health Insurance Exchanges, the Medicaid and CHIP programs, and private health insurance reforms. A primary focus is affordable access to health care services via public or private health insurance coverage for a variety of population groups. HAC provides research, data analysis, and development of policies and mechanisms that integrate the financing and delivery of health care. Relevant topic areas include:

  • Health Insurance Exchange--coverage, enrollment and premium issues;
  • Medicaid and CHIP--access, coverage, payment, and financing; and
  • Private health insurance issues affecting affordability, consumer choice, and coverage both inside and outside the Exchanges.

Reports

Displaying 11 - 20 of 20. 10 per page. Page 2.

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ASPE Data Point

Health Coverage Changes From 2020-2021

The National Health Interview Survey (NHIS) provides annual and quarterly data on health insurance coverage by insurance type, age, and income.
ASPE Issue Brief

Health Insurance Deductibles Among HealthCare.gov Enrollees, 2017-2021

The Affordable Care Act provides premium subsidies for Marketplace eligible individuals to improve health insurance affordability, as well as cost-sharing reductions (CSRs) for many enrollees that limit out-of-pocket spending such as deductibles.
ASPE Issue Brief

Facilitating Consumer Choice: Standardized Plans in Health Insurance Marketplaces

Standardized plans are a policy option that can simplify Marketplace consumer comparison shopping and bring more value to consumers by offering the same deductibles and cost-sharing across plans. This report provides an overview of the evidence to date on how standardized plans can potentially benefit consumers, improve health equity, and enhance plan competition.
ASPE Issue Brief

Medicaid After Pregnancy: State-Level Implications of Extending Postpartum Coverage

The postpartum period is increasingly recognized as a target for policy intervention to improve maternal health. The American Rescue Plan Act included an option for states to offer 12 months of postpartum Medicaid eligibility, a significant extension from the current requirement of 60 days.
ASPE Data Point

Assessing Uninsured Rates in Early Care and Education Workers

This Data Point presents current estimates of uninsured rates among early care and education workers (ECE), which includes individuals employed by Head Start, childcare center providers, and preschools. These populations have lower incomes on average and often lack access to benefits, including health coverage, commonly received by teachers in the K-12 system and post-secondary schools.
ASPE Issue Brief

Tracking Health Insurance Coverage in 2020-2021

Federal surveys relied on by researchers and policymakers for estimates of the uninsured population have been disrupted by the COVID-19 pandemic, potentially influencing the accuracy of their estimates. This report analyzes evidence from a variety of data sources, including surveys and administrative data, which collectively indicate that the number of uninsured people in the U.S.
ASPE Issue Brief

Reaching the Remaining Uninsured: An Evidence Review on Outreach and Enrollment

This Issue Brief reviews evidence on factors affecting enrollment in health coverage among uninsured populations, including take-up of Medicaid and subsidized Marketplace plans among eligible individuals.
ASPE Issue Brief

Health Insurance Coverage and Access to Care for American Indians and Alaska Natives: Current Trends and Key Challenges

This Issue Brief describes changes in the uninsured rate, health coverage, and access to care for American Indians and Alaska Natives (AI/ANs) and discusses key policies for this population, including how the American Rescue Plan Act of 2021 (ARP) builds on the Affordable Care Act (ACA) and invests additional resources in the Indian health care system.
ASPE Issue Brief

State Medicaid Telehealth Policies Before and During the COVID-19 Public Health Emergency

States have embraced Medicaid telehealth flexibilities during the COVID-19 Public Health Emergency (PHE), enhancing beneficiary access to services delivered via telehealth. This Issue Brief examines state Medicaid telehealth coverage and policies before and after the COVID-19 PHE was declared in January 2020.Related Products