Table 2. Health Insurance Pre- and Post-ACA Implementation by Eligibility Groupa.
| Characteristic | ACA, Weighted % | P value | Weighted % | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Pre (2000-2013) | Post (2014-2017) | Medicaid eligible | CSR eligible | APTC eligible | No assistance | ||||||
| Pre | Post | Pre | Post | Pre | Post | Pre | Post | ||||
| Total families (weighted %) | 77.8 | 22.2 | 16.5 | 4.7 | 17.5 | 4.9 | 18.3 | 5.0 | 25.4 | 7.6 | |
| Child insurance status | |||||||||||
| Any private ESI/group | 59.9 | 55.3 | <.001 | 15.9 | 11.3 | 48.0 | 37.5 | 73.8 | 68.5 | 86.7 | 85.8 |
| Any private nongroup | 2.9 | 3.6 | .009 | 1.2 | 1.8 | 2.5 | 3.0 | 3.8 | 4.5 | 3.6 | 4.6 |
| Any Medicaid/CHIP | 32.6 | 42.0 | <.001 | 78.2 | 87.5 | 45.0 | 62.5 | 17.7 | 28.7 | 5.2 | 8.8 |
| Any other public coverage | 3.4 | 3.2 | .35 | 3.7 | 2.1 | 3.9 | 3.2 | 3.2 | 3.5 | 3.0 | 3.6 |
| Ever uninsured | 19.7 | 13.8 | <.001 | 25.1 | 16.0 | 26.2 | 19.4 | 19.6 | 14.9 | 11.8 | 8.2 |
| Adult insurance status | |||||||||||
| Any private ESI/group | 67.1 | 63.4 | <.001 | 23.8 | 18.0 | 59.9 | 52.7 | 80.7 | 77.7 | 90.3 | 89.4 |
| Any private nongroup | 3.0 | 5.9 | <.001 | 1.5 | 4.8 | 2.7 | 7.0 | 3.5 | 6.2 | 3.7 | 5.6 |
| Any Medicaid/CHIP | 14.4 | 20.5 | <.001 | 44.0 | 54.6 | 15.2 | 26.0 | 5.2 | 9.5 | 1.2 | 2.7 |
| Any other public coverage | 4.5 | 6.0 | <.001 | 6.6 | 8.0 | 5.0 | 7.2 | 3.8 | 4.8 | 3.4 | 4.8 |
| Ever uninsured | 28.6 | 24.0 | <.001 | 52.3 | 43.6 | 40.4 | 34.2 | 21.7 | 19.9 | 10.1 | 7.9 |
| Insurance concordance | .01 | ||||||||||
| Concordant family | 62.7 | 60.8 | 44.2 | 49.3 | 45.5 | 41.7 | 67.2 | 60.1 | 83.3 | 81.0 | |
| Discordant family | 37.3 | 39.2 | 55.8 | 50.7 | 54.5 | 58.3 | 32.8 | 39.9 | 16.7 | 19.0 | |
Abbreviations: ACA, Affordable Care Act; APTC, advanced premium tax credits; CHIP, Children’s Health Insurance Program; CSR, cost-sharing reductions; ESI, employer-sponsored insurance.
a
Insurance status pertains to 1 randomly selected child and 1 randomly selected adult family member. Insurance groups are not mutually exclusive and represent the prevalence of receipt of any coverage during the year from each coverage type. Weighted row percentages are shown for the first row; weighted column percentages are shown elsewhere.