Based on data from the Current Population Survey, this paper compares changes in insurance coverage for the period 1994-1998 with 1989-1993. The uninsurance rate continued to rise in the 1994-1998 period, but for very different reasons than 1989-1993. The increase in employer-sponsored coverage was more than offset by declines in Medicaid and in private nongroup coverage. The movement of people into higher income brackets was responsible for the overall increase in employer-sponsored coverage. The decline of 3.3 million in Medicaid is probably related to state and federal welfare reform. The paper also looks at changes in uninsurance by race/ethnicity and family work status. (Health Affairs 2000 July/August; 19(4): 188-196).
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