The economy has steadily improved since the Great Recession peaked in 2010, but recovery in employment and household income has lagged behind GDP growth. The recession accelerated the long-standing decline in employer-sponsored health insurance (ESI) for most groups, and through 2013 most of the recovery in the uninsured rate was due to increased public insurance enrollment, primarily Medicaid and the Children’s Health Insurance Program. The declines in ESI coverage are partly attributable to changes in population characteristics among the nonelderly, including an increase in the number of low-income families, population growth in low-ESI regions, and workforce growth in low-ESI industries.
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