'Coverage gap' likely to affect 5.2 million uninsured adults

'Coverage gap' likely to affect 5.2 million uninsured adults

(HealthDay)—About 5.2 million uninsured adults are expected to fall into the Affordable Care Act (ACA) 'coverage gap,' with incomes too high to qualify for Medicaid programs but below the level eligible for federal subsidies to purchase private insurance, according to a report issued by the Henry J. Kaiser Family Foundation.

Although the ACA provides full federal funding for three years to states that expand Medicaid to cover residents under 138 percent of the , most Republican-led states (26 states in total) have opted against expansion.

Based on census data from 2012 and 2013, and state Medicaid eligibility rules for 2014, the report estimates that 5.2 million poor, uninsured adults will fall into the 'coverage gap,' with incomes too high to qualify for existing Medicaid programs but below the federal poverty level required to be eligible for subsidies to buy private coverage through the insurance marketplaces. Almost half of the uninsured live in Texas, Florida, and Georgia. More than one-third of adults from Alabama, Mississippi, and Louisiana will fall into the coverage gap, and nationwide, more than one-quarter (about 27 percent) of in states not expanding Medicaid will fall into the gap.

"Millions of adults will remain outside the reach of the ACA and continue to have limited, if any, options for health coverage," the report concludes.

More information: More Information

add to favorites email to friend print save as pdf

Related Stories

Patterns of health insurance coverage vary by state

Oct 08, 2013

(HealthDay)—Patterns of health insurance coverage among adults vary by state, and these differences may be used to guide efforts to expand coverage under the Affordable Care Act (ACA), according to research ...

Recommended for you

New toilets for India's poor, crime-hit village

21 hours ago

More than 100 new toilets were unveiled Sunday in a poverty-stricken and scandal-hit village in northern India, where fearful and vulnerable women have long been forced to defecate in the open.

Can YouTube save your life?

Aug 29, 2014

Only a handful of CPR and basic life support (BLS) videos available on YouTube provide instructions which are consistent with recent health guidelines, according to a new study published in Emergency Medicine Australasia, the jo ...

Doctors frequently experience ethical dilemmas

Aug 29, 2014

(HealthDay)—For physicians trying to balance various financial and time pressures, ethical dilemmas are common, according to an article published Aug. 7 in Medical Economics.

AMGA: Physician turnover still high in 2013

Aug 29, 2014

(HealthDay)—For the second year running, physician turnover remains at the highest rate since 2005, according to a report published by the American Medical Group Association (AMGA).

Obese or overweight teens more likely to become smokers

Aug 29, 2014

A study examining whether overweight or obese teens are at higher risk for substance abuse finds both good and bad news: weight status has no correlation with alcohol or marijuana use but is linked to regular ...

User comments