As of 2024, roughly 45 million individuals in the U.S. benefited from the Affordable Care Act and were enrolled in some form of ACA-related health insurance. This figure has increased from 12.6 million in 2014, the year ACA took effect. Since then, there has been an increase in the number of people who have become eligible for free or subsidized health care. Individuals can now enroll in ACA Marketplace and be eligible for premium tax credits, they may have become newly-eligible for Medicaid in states that have expanded Medicaid, or were previously eligible but didn't know or were unable to apply. Moreover, some states have introduced the Basic Health Program to provide continuous coverage for low-income individuals whose income fluctuates above and below Medicaid eligibility. This statistic portrays the number of Affordable Care Act-related (ACA) enrollments in the Marketplace, Medicaid, and the Basic Health Program (BHP) in the U.S. from 2014 to 2024.

This statistic displays the number of Obamacare sign-ups during the 2020 open enrollment period as a share of the 2019 open enrollment, by U.S. state. In Mississippi, the 2020 OE number of sign-ups was was nearly twelve percent higher than in the 2019 OE round. Open enrollment allows U.S. citizens to enroll, switch plans, and get subsidies on various plans under the Affordable Care Act.

The number of children enrolled in Medicaid was projected to reach 31 million by 2027, which would account for nearly 40 percent of total enrollment. Historically, children have been the largest group of Medicaid enrollees.

CHIP builds on Medicaid’s coverage The Children’s Health Insurance Program (CHIP) provides insurance coverage to children in families with incomes too high to qualify for Medicaid but too low to pay for private health insurance – there were approximately 9.6 million CHIP enrollees in 2018. CHIP is jointly financed by states and the federal government, but each state can decide how to design its program: they can implement it by expanding Medicaid, creating a separate plan, or a combination of both approaches.

Income eligibility levels for children The introduction of the Affordable Care Act (ACA) strengthened children’s health coverage by expanding eligibility levels in all states. For children of all ages, the ACA established a minimum Medicaid eligibility level of 138 percent of the federal poverty level (FPL), but many states have set higher income limits. In 2020, the median upper income eligibility level for children for Medicaid/CHIP was 255 percent of the FPL.

The number of disabled persons enrolled in Medicaid was projected to reach ************** in 2020. This enrollment group is expected to increase over the coming years and could reach ************ by 2027.

Disabled enrollees by state Medicaid is a public health insurance program that provides medical coverage to millions of Americans. Disabled individuals represent around ** percent of all Medicaid enrollees – children aged 18 years and under are the largest enrollment group. The state of California, which has the highest Medicaid expenditure, had slightly more than *********** disabled enrollees in 2014.

SSI beneficiaries will receive Medicaid The Affordable Care Act (ACA) created the opportunity for states to expand Medicaid and cover more low-income adults aged 64 years and under. The ACA established a new methodology to determine income eligibility for Medicaid. However, some mandatory groups are exempt from these income-based rules, including those individuals receiving Supplemental Security Income (SSI). The SSI program provides financial assistance to disabled persons, and beneficiaries are automatically eligible for Medicaid.

The percentage of Americans covered by the Medicaid public health insurance plan increased from **** percent in 2020 to around **** percent in 2023. However, the percentage of those insured through Medicaid remains lower than the peak of **** percent in 2015. The expansion of Medicaid The Affordable Care Act (ACA) provided the option for states to expand Medicaid eligibility to people whose income was below a particular threshold. The ACA’s major coverage expansion came into force in 2014, and the number of individuals estimated to be enrolled in Medicaid has since surpassed ** million. More than ** million children were enrolled in the program in 2018, representing ** percent of overall Medicaid enrollment. State Medicaid coverage Initially, the ACA mandated that all state Medicaid programs would have to be extended to provide medical coverage to nearly all low-income groups. However, the Supreme Court rejected that part of the act in 2012, leaving the door open for states to make their own decision on whether they expand their plans. As of September 2021, ** states plus the District of Columbia have adopted the Medicaid expansion.

California has more Medicaid and CHIP enrollees than any other state in the United States. As of April 2023, approximately ** million Americans were enrolled in the Medicaid health insurance programs in California, which accounted for approximately ** percent of the total number of Medicaid enrollees nationwide (**** million). Blow to Medicaid expansion plans California is one of many states that has expanded its Medicaid program under the Affordable Care Act (ACA) to encourage more low-income adults to sign up for health coverage. One of the original aims of the ACA was to limit some of the variations in state Medicaid programs, but the Supreme Court ruled that the expansion should be optional. Governors of the states that did not expand said they were concerned about long-term costs. California is the leading state for Medicaid expenditure, spending approximately **** billion U.S. dollars in FY2020. Health coverage for children The Children’s Health Insurance Program (CHIP) was created as a complement to Medicaid, expanding the reach of government-funded health coverage to more children in low-income families. As of May 2021, over **** million children were enrolled in Medicaid/CHIP programs in California, more than any other state. As of January 2021, the median Medicaid/CHIP eligibility level for children was *** percent of the federal poverty level.

The largest health insurance companies in the U.S. include big names such as Kaiser Permanente, Elevance Health and UnitedHealthcare Group. As of 2023 the largest health insurance company in the U.S. was Kaiser Permanente with approximately *** million members. However, UnitedHealthcare was the largest health insurance company in the U.S. by revenue. Elevance Health (Anthem) was the second largest at that time with almost *** million members. Health insurance is an important part of the health care landscape in the U.S. and enrollment has been on the rise since the passing of the Affordable Care Act in 2010 by U.S. President Barack Obama. Health insurance in the U.S. The health insurance industry in the United States is a combination of both private and publicly funded schemes that provide a range of health services to individuals and families. The overall health care administration costs and net cost of private health insurance in the U.S. has increased rapidly since the early *****. In recent years, the U.S. has seen a rise in the cost of monthly health insurance premiums. In 2019, the average monthly health insurance premium in the individual market earned an insurer over *** U.S. dollars on average. Health care costs However, despite the combination of private and public funding, the U.S. health system has some of the highest per capita costs globally. The reason behind the increase and difference in health care costs in the U.S. is said to be a combination of doctors’ earnings, the cost of diagnostics and cost of health care administration and overhead. Compared to other developed countries such as France, Germany and Canada, the U.S. spends significantly more of it’s GDP on health care costs. As an example, the cost of a heart bypass surgery in the United States in 2019 was over **** times as expensive as a heart bypass surgery in Israel.