About one in four uninsured could be excluded from ACA

About one in four uninsured could be excluded from ACA
More than one in four of those eligible for new premium assistance tax credits under the Affordable Care Act do not have a checking account and will not be able to receive premiums from insurance companies, according to a report published by Jackson Hewitt.

(HealthDay)—More than one in four of those eligible for new premium assistance tax credits under the Affordable Care Act (ACA) do not have a checking account and will not be able to receive premiums from insurance companies, according to a report published by Jackson Hewitt.

George Brandes, from Jackson Hewitt Tax Service Inc., and colleagues used data from the 2008 Survey of Income and Program Participation to generate national and state-level estimates of the number of non-elderly uninsured households that are considered unbanked (without a checking account).

The researchers note that 27 percent of uninsured Americans who are eligible for new premium tax credits under the ACA do not have a checking account. As many insurance companies intend to pay premiums directly through a checking account, this will undermine efforts to expand health coverage under the ACA. This effect will be larger for African-Americans and Hispanic-Americans, who are more likely to be unbanked. In states where the federal government operates a health insurance marketplace the impact will be disproportionately larger but can be addressed by requiring insurance companies to accept commonly used forms of payment available to unbanked Americans.

"Federal to this issue may effectively hollow out efforts to enroll the uninsured," Brian Haile, senior vice president for Health Care Policy at Jackson Hewitt, said in a statement. "The negative effects will be disproportionately felt by African-Americans and Hispanic-Americans, groups who already experience significant . These findings should be deeply troubling for everyone who is working to improve minority access to and medical care."

Jackson Hewitt has a limited with prepaid debit cards.

More information: More Information

add to favorites email to friend print save as pdf

Related Stories

Premiums for public health insurance affect coverage

Feb 08, 2013

Requiring individuals to pay a premium for public health insurance coverage can counteract the coverage effects of expanding eligibility for public health insurance programs to higher income families.

AAP updates medicaid policy statement with ACA changes

Apr 01, 2013

(HealthDay)—The implications of the expansion of Medicaid resulting from implementation of the Affordable Care Act (ACA) on children are discussed in a policy statement from the American Academy of Pediatrics ...

Recommended for you

Smoking out the facts in the E-cigarette debate

26 minutes ago

Electronic cigarettes seem to have become as ubiquitous as the vapor they produce. Their popularity has been skyrocketing over the past two years, even in the midst of a fierce debate about their potential ...

Women, work and the menopause

1 hour ago

Menopausal women fear age-based discrimination in the workplace and face a glaring lack of menopause-specific support, according to new research.

Cohabiting couples differ on contraceptive use by class

2 hours ago

Most cohabiting couples intend to delay childbirth until they're married, steadily employed and financially stable. Despite these preferences, surprise pregnancies are common, particularly among working-class men and women ...

Nurse turnover assessments inconsistent

3 hours ago

(HealthDay)—More than 17 percent of new nurses leave their first job within one year of starting, according to research published online Aug. 25 in Policy, Politics, & Nursing Practice.

User comments