Preventing Financial Strain for Low- and Moderate-Income Adults: a Comparison of Medicaid, Marketplace, and Employer-Sponsored Insurance.

ABSTRACT:

Background

Medicaid expansion and subsidized private plans purchased on the Affordable Care Act's (ACA) Marketplaces accounted for most of the ACA's coverage gains.

Objective

Compare access to care and financial strain between Medicaid and Marketplace plans, and benchmark these against employer-sponsored insurance (ESI) plans.

Design

Cross-sectional survey PARTICIPANTS: A nationally representative, non-institutionalized sample of 37,219 non-elderly adults with incomes up to 400% of the federal poverty level between 2015 and 2018, and a sub-group of individuals with chronic diseases.

Main measures

Self-reported barriers to accessing care, cost-related medication non-adherence, and financial strain.

Key results

Marketplace enrollees were more likely than M

SUBMITTER: Saluja S 

PROVIDER: S-EPMC8442638 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature