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ACA plans expanded coverage for chronic conditions

Executive Director - Friday, April 06, 2018

  • As the Affordable Care Act increased the number of Americans with health coverage, 45% of adult ACA exchange enrollees had chronic conditions in 2014 and 2015. That’s a higher percentage than those with employer-based insurance and in nongroup plans not in the exchanges, according to a new study in Health Affairs.
  • The report, which was written by Michael Karpman, Sharon K. Long and Lea Bart, all from the Urban Institute, found people in ACA plans used more healthcare services than those in other plans, which the study authors said is part of the reason for rising premiums in nongroup insurance.
  • The authors warned that repeal of the individual mandate penalty in 2019 will force states to figure out how to stabilize nongroup premiums and protect coverage for adults with chronic conditions. That may include creating a balanced insurance pool.

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