Title Effects of the Affordable Care Act on consumer health care spending and risk of catastrophic health costs / Sarah A. Nowak, Christine Eibner, David M. Adamson, Evan Saltzman ; sponsored by the Commonwealth Fund

Published Santa Monica, CA : RAND Corporation, [2013]

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Description 1 online resource (1 PDF file (xiii, 46 pages)) : illustrations Series Research report ; RR-383-CMF Research report (Rand Corporation) ; RR-383-CMF. Contents Introduction : insurance transitions and consumer health care spending under the Affordable Care Act -- Results : individual health care spending under the ACA -- Two case studies : Texas and Florida -- Assumptions and limitations -- Conclusions -- Appendix : Overview of the COMPARE model Summary 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 Notes Title from PDF title page Bibliography Includes bibliographical references Notes Version viewed October 24, 2014 Subject United States. Patient Protection and Affordable Care Act. SUBJECT United States Patient Protection and Affordable Care Act Patient Protection and Affordable Care Act (United States) fast Subject Health care reform -- Economic aspects -- United States Health care reform. Medicaid. Health Expenditures -- trends Health Care Reform Insurance, Health Catastrophic Illness -- economics Medicaid MEDICAL -- Medicaid & Medicare. Medicaid Health care reform Health care reform -- Economic aspects SUBJECT United States https://id.nlm.nih.gov/mesh/D014481 Subject United States Genre/Form Statistics Statistics. Statistiques. Form Electronic book Author Eibner, Christine, author Adamson, David M., author Saltzman, Evan, author Commonwealth Fund, sponsoring body. Rand Corporation, issuing body. ISBN 9780833083654 0833083651

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