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Effects of the Affordable Care Act on consumer health care spending and rsk of catastrophic health costs

Effects of the Affordable Care Act on consumer health care spending and rsk of catastrophic health costs

Nowak, Sarah, author; Saltzman, Evan, author; Eibner, Christine, author; Adamson, David M., author

This study examines the likely effects of the Affordable Care Act (ACA) on average annual consumer health care spending and the risk of catastrophic medical costs for the United States overall and in two large states that have decided not to expand their Medicaid programs (Texas and Florida). The ACA will have varied impacts on individuals' and families' spending on health care, depending on income level and on estimated 2016 insurance status without the ACA. The authors find that average out-of-pocket spending is expected to decrease for all groups considered in the analysis, although decreases in out-of-pocket spending will be largest for those who would otherwise be uninsured. People who would otherwise be uninsured who transition to the individual market under the ACA will have higher total health care spending on average after implementation of the ACA because they will now incur the cost of health insurance premiums. The authors also find that risk of catastrophic health care spending will decrease for individuals of all income levels for the insurance transitions considered; decreases will be greatest for those at the lowest income levels. Case studies found that in Texas and Florida, Medicaid expansion would substantially reduce out-of-pocket and total health care spending for those with incomes below 100 percent of the federal poverty level, compared with a scenario in which the ACA is implemented without Medicaid expansion. Expansion would reduce the risk of high medical spending for those covered under Medicaid who would remain uninsured without expansion

eBook, Electronic resource, Book. English. Electronic books. Statistics.
Published Santa Monica, CA : RAND Corporation 2013

This resource is available electronically from the following locations


Statement of responsibility: Sarah A. Nowak, Christine Eibner, David M. Adamson, Evan Saltzman ; sponsored by the Commonwealth Fund
ISBN: 0833083651, 9780833083654
Note: Includes bibliographical references.
Note: Version viewed October 24, 2014.
Note: Title from PDF title page.
Physical Description: 1 online resource (1 PDF file (xiii, 46 pages)) : illustrations.
Series: Research report ; RR-383-CMF
Subject: Catastrophic Illness economics.; Health care reform Economic aspects.; United States. Patient Protection and Affordable Care Act.; Health care reform Economic aspects United States.; Medicaid.; Health Care Reform.; United States.; United States Patient Protection and Affordable Care Act.; Insurance, Health.; MEDICAL Medicaid & Medicare.; Health Expenditures trends.; Patient Protection and Affordable Care Act (United States)
Series Title: Research report (Rand Corporation) ; RR-383-CMF.
Local note: JSTOR Books at JSTOR Open Access