2021 Focus Series: ACA - Lessons Learned and the Path Ahead
This industry report focuses on some of the main topics addressed in the ACA, their history, as well as data from 2014 to 2020. Additionally, this industry report looks at how insurers have fared over the past ten years from financials to new entrants. Finally, we look at what the next few years may look like, especially as the White House and both houses of Congress have changed to Democrat control beginning in January 2021.
Table of Contents:
Review of the Affordable Care Act
Individual and Group Market Reforms
- Individual Mandate: Failure to Launch
- Insurance Exchanges: Diverse Paths to the Same End
- Individual & Group Comprehensive
- ACA Protections
- Lawsuits & Regulations
- Work Requirements
- Future of Medicaid
U.S. Insurance Coverage Rates
- Uninsured Rate by State
- Uninsured Rate by Demographic
Reduction in Health Care Costs
- Health Insurance Costs
- Costs to Health Insurers—Health Insurer Fee
- Personal Health Care Expenditures as a Percentage of GDP
How Have Insurers Fared Over the Past Ten Years?
- Introduction of Competitors
- Historical Results and Projections
What Does the Future Look Like?
- Legal Challenges to the ACA
- 2020 Election
The Patient Protection and Affordable Care Act, also known as the ACA (Affordable Care Act) or Obamacare, was enacted into law on March 23, 2010 under then-President Barack Obama. The Act focused on tackling multiple issues, including market reforms, decreasing the uninsured rate, reducing costs, patient protections, as well as Medicaid expansion. The Act implemented changes to U.S. health care policy, including the individual mandate and Medicaid expansion in 2014. Over the ten-plus years since its signing, the Act has faced numerous changes, Congressional challenges, and lawsuits. This industry report reviews the development of the ACA. This review provides a foundation from which we can look ahead at how the ACA may evolve and lessons learned over the past ten years.