Take-Up of Marketplace Coverage Increased After Enhanced Premium Subsidies.
In 2021, the American Rescue Plan Act (ARPA) in conjunction with the Inflation Reduction Act (IRA) increased premium subsidies to support the purchase of Marketplace coverage until the end of 2025. The ARPA/IRA enhanced subsidies substantially reduced the net-of-subsidy cost of Marketplace coverage....
| Publicado en: | Journal of Health Care for the Poor & Underserved Vol. 37; no. 1; pp. 206 - 219 |
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| Autor principal: | |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Johns Hopkins University Press
Feb2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191725328&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191725328 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10492089 JPU jtl: Journal of Health Care for the Poor & Underserved issn: 10492089 maglogo: N pubinfo: dt: Feb2026 vid: 37 iid: 1 pid: 226 pub: Johns Hopkins University Press place: Baltimore, Maryland artinfo: ui: 191725328 191725328 191725328 10.1353/hpu.2026.a982965 191725328 ppf: 206 ppct: 13 formats: tig: atl: Take-Up of Marketplace Coverage Increased After Enhanced Premium Subsidies. aug: au: Jaco, Paul D. sug: subj: Financial Support Financing, Government Insurance Coverage Health Services Accessibility Health Insurance Exchanges Human Male Female Infant, Newborn Infant Child, Preschool Child Adolescence Adult Middle Age Insurance, Health Health Policy Regression Race Factors Ethnic Groups Minority Groups Interviews Age Factors Educational Status Income Health Status Employment Status Family Characteristics Residence Characteristics Data Analysis Software T-Tests COVID-19 Pandemic Psychosocial Factors Confidence Intervals Descriptive Statistics Infant, Newborn: birth-1 month Infant: 1-23 months Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: In 2021, the American Rescue Plan Act (ARPA) in conjunction with the Inflation Reduction Act (IRA) increased premium subsidies to support the purchase of Marketplace coverage until the end of 2025. The ARPA/IRA enhanced subsidies substantially reduced the net-of-subsidy cost of Marketplace coverage. Using regression analysis of respondents to the Medical Expenditure Panel Survey (MEPS-HC) over the 2018–22 period, we assessed how Marketplace coverage changed after the implementation of the ARPA/IRA enhanced subsidies and which subgroups were particularly affected. We found a 6.7 percentage point increase in the proportion of Marketplace-eligible individuals who took up coverage after ARPA/IRA. Further, the proportion who took up coverage increased by 20.7 percentage points for non-Hispanic Black individuals and by 10.1 percentage points for Hispanic enrollees. These results strongly suggest that if Congress does not reauthorize the enhanced subsidies, a decline in Marketplace enrollment, especially among some minority groups, is likely to occur. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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