New England Journal Of Medicine: 20 Million Covered Under Obamacare

President Barack Obama delivers his State of the Union address on Capitol Hill in Washington, Tuesday, Jan. 24, 2012. (AP Photo/Saul Loeb, Pool)
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A report published last week in the esteemed New England Journal of Medicine provided an overview of Obamacare’s first year, its successes and the challenges ahead. It also offered a yet another estimate of the number of people covered by the law: 20 million.

The NEJM report pulled a wealth of information, much of it already known by those closely following the law’s implementation but presented together by the journal, from think tanks and government agencies. It covered a range of topics, including the number of people covered, 2015 premiums, and the adequacy of provider networks for plans offered through the law.

But its bottom line was that millions of people have become insured under Obamacare.

“Taking all existing coverage expansions together, we estimate that 20 million Americans have gained coverage as of May 1 under the ACA,” the authors wrote. “We do not know yet exactly how many of these people were previously uninsured, but it seems certain that many were.”

They reached the 20 million total this way: 1 million adults under age 26 enrolled in their parents’ plan; 8 million enrolled in private coverage through the insurance marketplaces; 5 million enrolled in private coverage directly through their insurer; 6 million enrolled in Medicaid.

As the authors noted, some of these people were likely insured prior to the law. Experts have previously said they expect many of those enrolling directly with an insurer, for example, already had coverage. But the conclusion still stands, the NEJM authors said.

“With continuing enrollment … the numbers of Americans gaining insurance for the first time — or insurance that is better in quality or more affordable than their previous policy — will total in the many tens of millions,” they wrote.

They also noted the disparity — and potential for even greater disparity — between the 28 states that expanded Medicaid under Obamacare, and the others that decided to not to following the 2012 Supreme Court decision.

“Those deciding not to expand Medicaid will benefit far less from the law, and since many of these states have high rates of uninsured residents and lower health status,” they said, “the ACA may have the paradoxical effect of increasing disparities across regions, even as it reduces disparities between previously insured and uninsured Americans as a whole.”

They also observed some of the challenges still facing the law, particularly keeping premiums from becoming unaffordable and ensuring that customers are actually satisfied with the coverage that they get. It will likely take years to know the final outcome on those issues.

But the great challenge, and great unknown, is overall health care costs. The evidence there has been decidedly unclear, and it is likely simply too early to know what effect, if any, Obamacare is having.

“Developing and spreading innovative approaches to health care delivery that provide greater quality at lower cost is the next great challenge facing the nation,” the NEJM authors wrote.

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Notable Replies

  1. Avatar for lew lew says:

    Please Dems running for the mid-terms. Embrace this. Show yourselves on air with people whose lives have been improved (or saved) by Obamacare. Let people know that you have their backs (literally and figuratively).

    DON"T give in to the right-wing talking points. Having a spine that resembles a chocolate éclair doesn’t help you get elected. (Or to put it a different way, straddling the fence only makes your crotch hurt).

    Obamacare works. Own it. All of it. Rub the GOPs Nose in it.
    Repeat.

  2. I don’t think the “repeal and replace” thing will be as big a boon for the GOP this time around.

  3. Avatar for drail drail says:

    You got to be kidding right, lol, lol, lol. These #'s have been all over the ballpark . One week this ,one week that.

  4. I was asked to respond to a survey by Hart Research (they do polling for the democratic party) and apparently I hit a nerve with some of my answers in my responses to their first survey, as I received a followup email asking that I explain why I was disgusted with the DSSC and DCCC (which I am) and why I have not donated this year as I had in the past. I explained that the dems absolutely suck in their messaging and are being out messaged on a daily basis by the republicans in addition to the fact that they have not had this President’s back or embraced Obamacare. I also said they fell down horribly when it came to explaining Obamacare fully so that people had a better understanding. I also said I was sick of subsidizing millionaire and multi-millionaire senators’ campaigns when my return on investment has proven to be worthless so far.

  5. Yeah we know facts are not tolerated by republicans. Continue to keep your head in the sand or up your ass. See how far that’s gong to get you

Continue the discussion at forums.talkingpointsmemo.com

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