By 2023, 30 states will have signed up through Healthcare.gov, while 20 states will run state-based marketplaces. The federal website is used by certain state-based exchanges for enrollment. State-based initiatives with their own websites are more flexible in implementing enrollment drives or other initiatives to streamline the enrollment process.
While it’s not quite universal coverage, ten states have uninsured rates under 5%.
From 46.5 million in 2010—the year President Barack Obama signed his landmark health care bill—to roughly 26 million currently, fewer Americans lack health insurance. The US health system still has several shortcomings. In addition to the 8 percent of the population living without health insurance, which is far higher than in comparable nations, many individuals with health insurance still struggle to pay their fair portion of medical expenses.
The statute allowed states latitude to expand on its fundamental framework. Numerous organizations that minimize premiums were given permission by the federal government to implement them; some of these organizations further provide state subsidies to lessen the cost of insurance, even for those who are ineligible for federal aid (such as undocumented immigrants). Some states are even launching brand-new, publicly run health plans to rival those that are offered privately.
Out of all the states, Massachusetts has the lowest rate of uninsured people: just 2.4% of people do not have health insurance. It had an advantage: the law served as the blueprint for the Affordable Care Act (ACA), which was based on a system of government subsidies for private insurance plans offered on the public market before 2010.
The Common Wealth Fund study reported its findings and concluded: “In expansion states, people who would otherwise be in the Medicaid coverage gap had increased health insurance coverage, lower rates of avoiding seeking medical care, and greater utilization of certain preventive care measures. Medicaid expansion substantially improved insurance coverage and access to care in the potential gap population. Those in the Medicaid gap in non-expansion states have fallen substantially behind their counterparts in coverage, financial protection, and preventive screening.”
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