Coverage gains after the affordable care act among the uninsured in Minnesota

K.T. Call, E. Lukanen, D. Spencer, G. Alarcón, J.K. Pintor, A.B. Simon and S. Gildemeister

American Journal of Public Health, 2015, vol. 105, S658-S664

Abstract: Objectives: We determined whether and how Minnesotans who were uninsured in 2013 gained health insurance coverage in 2014, 1 year after the Affordable Care Act (ACA) expanded Medicaid coverage and enrollment. Methods: Insurance status and enrollment experiences came from the Minnesota Health Insurance Transitions Study (MH-HITS), a follow-up telephone survey of children and adults in Minnesota who had no health insurance in the fall of 2013. Results: ACA had a tempered success in Minnesota. Outreach and enrollment efforts were effective; one half of those previously uninsured gained coverage, although many reported difficulty signing up (nearly 62%). Of the previously uninsured who gained coverage, 44% obtained their coverage through MNsure, Minnesota's insurance marketplace. Most of those who remained uninsured heard of MNsure and went to the Web site. Many still struggled with the enrollment process or reported being deterred by the cost of coverage. Conclusions: Targeting outreach, simplifying the enrollment process, focusing on affordability, and continuing funding for in-person assistance will be important in the future.

Keywords: adolescent; adult; child; female; health care policy; health insurance; human; infant; insurance; male; medicaid; medically uninsured; middle aged; Minnesota; newborn; preschool child; socioeconomics; statistics and numerical data; United States; young adult, Adolescent; Adult; Child; Child, Preschool; Female; Humans; Infant; Infant, Newborn; Insurance Coverage; Insurance, Health; Male; Medicaid; Medically Uninsured; Middle Aged; Minnesota; Patient Protection and Affordable Care Act; Socioeconomic Factors; United States; Young Adult (search for similar items in EconPapers)
Date: 2015
References: Add references at CitEc
Citations:

Downloads: (external link)
http://hdl.handle.net/10.2105/AJPH.2015.302837

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2015.302837_8

DOI: 10.2105/AJPH.2015.302837

Access Statistics for this article

American Journal of Public Health is currently edited by Alfredo Morabia

More articles in American Journal of Public Health from American Public Health Association
Bibliographic data for series maintained by Christopher F Baum ().