Health Policy Center Authors
Publications by Hannah Recht for Health Policy Center
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More about Hannah Recht's areas of expertise can be found on this Urban Institute expert's page.
Health Care Spending by Those Becoming Uninsured if the Supreme Court Finds for the Plaintiff in King v. Burwell Would Fall by at Least 35 Percent (Research Report)
Matthew Buettgens, John Holahan, Linda J. Blumberg, Hannah Recht
If King v. Burwell is decided in favor of the plaintiff, additional coverage resulting from the ACA’s premium tax credits would be reversed, and some of those purchasing nongroup insurance fully with their own funds would become uninsured due to large increases in premiums. Consequently, spending on medical care would decline in the affected states. This analysis estimates the effect of such a change on hospital, physician, prescription drug and all other spending, noting how much of the continued spending would be self-paid by the uninsured and how much would rely upon historic rates of uncompensated care funding persisting.
Racial/Ethnic Differences in Uninsurance Rates under the ACA (Research Report)
Lisa Clemans-Cope, Matthew Buettgens, Hannah Recht
This report is the first state-level projection of ACA coverage gains for racial/ethnic groups. Absent ACA coverage provisions, Latinos, blacks, and American Indian/Alaska Natives are overrepresented among the uninsured. With the ACA and current state Medicaid expansion decisions, uninsurance rates are projected to fall for each racial/ethnic group, narrowing coverage differences between whites and each minority group, except for blacks. If all states were to expand their Medicaid programs, we project that uninsurance rates would fall further for all racial/ethnic groups, with blacks experiencing a marked reduction. Effective outreach can further reduce uninsurance rates for all racial/ethnic groups
Eligibility for Assistance and Projected Changes in Coverage Under the ACA: Variation Across States (Policy Briefs/Timely Analysis of Health Policy Issues)
Matthew Buettgens, Genevieve M. Kenney, Hannah Recht
The authors estimate that in 2014, 56 percent of the uninsured became eligible for financial assistance with health insurance coverage through Medicaid, CHIP, or subsidized marketplace coverage. In states that expanded Medicaid eligibility, 68 percent of the uninsured became eligible for assistance, compared with only 44 percent in states that did not. Because of this difference in eligibility, the ACA is projected to reduce the number of uninsured people by 56 percent in states that expanded Medicaid, compared with only 34 percent in states that did not. The authors also provide estimates of what would happen if states that have not yet expanded Medicaid were to do so.
Measuring Marketplace Enrollment Relative to Enrollment Projections: Update (Policy Briefs/Health Policy Briefs)
Linda J. Blumberg, John Holahan, Genevieve M. Kenney, Matthew Buettgens, Nathaniel Anderson, Hannah Recht, Stephen Zuckerman
This brief compares Affordable Care Act Marketplace enrollment as of April 19, 2014 (the most recent state-specific data) to projected enrollment for 2014 and 2016 and estimates of the number of people eligible for subsidies. Nationally, by April 19, the Marketplaces had enrolled 115 percent of projected 2014 enrollment. Collectively, both State-Based Marketplaces (SBMs) and Federally Facilitated Marketplaces (FFMs) exceeded projected enrollment. However, there is considerable variation across the states within each group.
Measuring Marketplace Enrollment Relative to Enrollment Projections (Research Report)
Linda J. Blumberg, Genevieve M. Kenney, Matthew Buettgens, John Holahan, Nathaniel Anderson, Hannah Recht, Stephen Zuckerman
This brief compares Affordable Care Act Marketplace enrollment as of March 1, 2014 (the most recent state-specific data) to projected enrollment for 2014 and 2016 and estimates of the number of people eligible for subsidies. Nationally, by March 1, the Marketplaces had enrolled 61 percent of projected 2014 enrollment of subsidized and unsubsidized individuals. They had enrolled 63 percent of the subsidized population expected to enroll in 2014. Collectively, State-Based Marketplaces (SBMs) have been more successful in reaching projected enrollment than the Federally Facilitated Marketplaces (FFMs), with SBMs overall also having significantly higher rates of subsidized enrollment than FFMs.
Eligibility for Assistance and Projected Changes in Coverage Under the ACA: Variation Across States (Research Report)
Matthew Buettgens, Genevieve M. Kenney, Hannah Recht, Victoria Lynch
This report examines how many of the uninsured in each state would be eligible for health coverage assistance programs - i.e. Medicaid, the Children's Health Insurance Program and subsidized private coverage through the new health insurance marketplaces - under the Affordable Care Act. The report also estimates the anticipated decrease in the uninsured population under the ACA in each state. Finally, the report examines the share of those remaining uninsured under the ACA in each state who would be eligible for, but not enrolled in, assistance programs.