More than 100 million Americans still lack access to coverage
More than one-third of Americans without health insurance do not have coverage, according to a new report from the Commonwealth Fund.
The report said the percentage of uninsured Americans is now nearly double what it was before the Affordable Care Act passed in 2010.
The number of uninsured was about 16.9 million people in the United States as of May, up from 12.7 million in the same period a year earlier, according the report.
Many people are still not getting health care coverage, said David Cutler, the Commonwealth Foundation’s senior vice president of health policy.
In some states, for example, coverage is limited to people who are 65 or older.
For those who have a preexisting condition, coverage does not necessarily extend to preventive care, said Cutler.
The Commonwealth Fund’s report on the state of the U.S. health care system, released Tuesday, was based on data from the Centers for Medicare and Medicaid Services, the federal government’s primary health insurance program.
It’s based on interviews with nearly 1,300 Americans, including more than 3,000 adults and nearly 2,500 children, over the past year.
More than half the people surveyed said they had not seen their health care provider in a year, and about one-quarter said they did not receive care at all.
The percentage of people without health coverage in the U-verse marketplace, a private insurance exchange where individuals can buy policies, has increased by more than 400 percent since the law was passed in 2014.
The ACA has been credited with helping tens of millions of Americans gain health insurance, but it’s still a complicated law that many states have yet to fully implement.
Cutler said the health care law’s success will depend on the states and how they design their health insurance marketplaces.
He said he expects the expansion of coverage in 2017 to slow.
The majority of Americans still do not receive any health insurance from their employer, or from their insurance company, he said.
About 16 million people have no insurance, according, the report said.
A key challenge will be finding the people who need coverage and then getting them into coverage, Cutler said.
It will be difficult to make sure that they have coverage in a way that helps them pay for their medical care.
That will require some states to develop new approaches for expanding coverage.
The American Health Care Act, the law signed by President Donald Trump in March, is expected to provide subsidies for low-income people to purchase insurance.
The administration is also considering legislation that would provide tax credits to low- and middle-income individuals to purchase coverage through the marketplace.
That bill is expected in the coming months.
Cutler did not specify what kinds of insurance would be offered through the exchange or how much people would pay.
But the report found that nearly three-quarters of adults who don’t have coverage would not have to pay more than 30 percent of their income to get it.
That is a higher percentage than the share of people who pay less than 30 cents on the dollar.
Some of the uninsured are older than 65.
Nearly half of those who are 60 and older do not buy coverage, while another third of them are younger than 18, according.
Many are elderly people with disabilities.
Many of them rely on Medicaid, which covers some health care expenses, including prescriptions, dental care and mental health services.
About a quarter of the states covered by the ACA do not currently have Medicaid or a state-based system.
Cutler noted that the ACA expanded coverage to include coverage for people with preexisted conditions, so those people could buy insurance on the exchanges.
However, he warned that the law will not guarantee people coverage.
“People will have to get coverage or pay higher premiums,” Cutler said in an interview.
The state of coverage “is not good” for many people, he added.
In New York City, the number of adults without coverage increased by 10 percent over the previous year, while the number with coverage decreased by 11 percent.
In Connecticut, it decreased by 10.7 percent and in Texas, it dropped by 7.7.
Cutler added that he’s concerned that people who were already eligible for coverage under the Affordable Health Care Program (AHCP), known as the Affordable Benefit Pool, would not qualify for Medicaid expansion under the new health care plan.
AHCP is an expansion of Medicaid.
The new law is designed to cover more people and to be more flexible than the AHCP.
People who qualify under the ACA’s Medicaid expansion would have access to free preventive care.
The government will help cover most of the costs of that care, according an April 28 press release from the Department of Health and Human Services.
The federal government would contribute $15 billion in funding to help states set up their own exchange to help people enroll in plans.
The Affordable Care Action Tracker, which was launched last year to track progress, does not have an estimated number of people enrolled.
The program is funded by an excise tax on the products Americans buy and by payroll taxes on employers.
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