The US Census Bureau released new reports onHealth Insurance Coverage in the United States. The uninsured rate in Connecticut went from 5.5% in 2017 to 5.3% in 2018. But nationwide, this is the first year-to-year increase in the percent of uninsured since 2008-2009. Nationwide, the uninsured rate increased from 7.9% in 2017 to 8.5% in 2018. That meant 27.5 million people did not have health insurance at any point during 2018, up from 25.6 million in 2017. In 2018, 3.3% of people nationwide, or 30.8% of people with direct-purchase insurance, got their coverage through the state or federal health insurance marketplace. Between 2017 and 2018, the percentage of people covered by Medicaid decreased by 0.7 percentage points to 17.9%. The percentage of people with employment-based coverage, direct-purchase coverage, TRICARE, and VA or CHAMPVA health care did not statistically change. Employer-based insurance remained the most common source of coverage, covering 55.1% of the population for all or part of the calendar year. Seeuninsured maps by Connecticut county for 2017.
According to anAugust CMS report, Connecticut saw a 30% drop in unsubsidized enrollment from 2017 to 2018 (rank among states = 19). Unsubsidized enrollment changes ranged from an 85% drop in Iowa to a 7% gain in North Carolina. The five states experiencing the largest declines include Iowa (-85 percent), Georgia (-60 percent), Nebraska (-59 percent), Tennessee (-53 percent) and Virginia (- 51 percent).
All Medicaid expansions are not created equal: A fall 2019Brookings research paper finds that Medicaid expansion under the ACA tends to be associated with more hospital visits, primarily through ER visits for non-emergency conditions, although that finding did not hold true in Connecticut (I think).