Health Insurance

ASPE FMAP 2017 REPORT Federal Financial Participation in State Assistance Expenditures; Federal Matching Shares for Medicaid, the Children’s Health Insurance Program, and Aid to Needy Aged, Blind, or Disabled Persons for October 1, 2016 through September 30, 2017​

This note considers the potential long-term fiscal consequences of a counterfactual scenario in which the federal government did not reimburse insurers for cost-sharing reductions (CSRs). Under the Affordable Care Act (ACA), insurers are required to provide CSRs to low- and moderate-income enrollees. The federal government is then required to reimburse insurers for the cost of these subsidies.

ASPE has developed estimates of the number of uninsured who are likely to qualify for coverage for 2016 through Qualified Health Plans (QHPs) in the Health Insurance Marketplace (“QHP-eligible uninsured”) for select designated market areas (DMA) in the United States. A DMA is a geographic area that represents a specific television market defined by the Nielsen Company.

In March 2015, ASPE estimated that 16.4 million uninsured people had gained health insurance coverage as several of the Affordable Care Act’s coverage provisions took effect.  Using updated data, ASPE now estimates that 17.6 million uninsured people have gained health insurance coverage.&nb

In March 2015, ASPE estimated that 16.4 million uninsured people had gained health insurance coverage as several of the Affordable Care Act’s coverage provisions took effect. Using updated data, ASPE now estimates that 17.6 million uninsured people have gained health insurance coverage.