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Report: The Impact of Medicare-X Choice on Coverage, Healthcare Use, and Hospitals

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March 19, 2019

Access to affordable health care coverage continues to be a major public concern. While many Americans have gained coverage since the enactment of the Affordable Care Act through, for example, health insurance marketplaces and state Medicaid expansions, approximately 27 million non-elderly individuals living in the U.S. remain uninsured in 2017, up slightly from 2016.9The impactof the ACA on the uninsured differs across states with rates of uninsured ranging from 4percentin the District of Columbia to 20percentin Texas.10The reasons for this variation include:some states’declining to expand Medicaid, variation in exchange plans’ premium levels, and the effectiveness of individual incentives to purchase coverage, suchas the individual mandate (when it was in effect) and subsidies.

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Date: March 20, 2019

Source: American Hospital Association

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