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PPACA Implementation Pending, Health Insurance Coverage Gaps Persist

John Commins, for HealthLeaders Media, April 26, 2013

Major provisions of the PPACA do not take effect until 2014, but the survey estimated that 87% of the 55 million people who were uninsured at some point in 2012 would be eligible for some form of subsidized insurance either through the expanded Medicaid rolls or through the health insurance exchanges.

In addition, as much as 85% of the 30 million underinsured adults in 2012 might be eligible for either Medicaid or subsidized health insurance with reduced out-of-pocket costs under the PPACA.

The survey also found that:

  • Nearly three-of-four working-age adults with incomes of less than $14,856 a year for a person or $30,657 for a family of four — an estimated 40 million people — were uninsured or underinsured;
  • Nearly 60% of adults with incomes between $14,856 and $27,925 for an individual or between $30,657 and $57,625 for a family of four — or 21 million people — were uninsured or underinsured;
  • Uninsured adults were less likely to receive recommended preventive care. Only 48% of women who were uninsured during the year received a mammogram compared to 77% of those who were well insured all year.

John Commins is a senior editor with HealthLeaders Media.

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