ArticleProceedings of the National Academy of Sciences of the United States of America2023
The risk of losing health insurance in the United States is large, and remained so after the Affordable Care Act.
Article in Proceedings of the National Academy of Sciences of the United States of America, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed.
- Development and Validation of a Brief Healthcare Insecurity Scale in a Sample of US Adults Living With and Without HIV.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2026Article
- Medicaid Disenrollment Among Young Adults With and Without Complex Medical Conditions.JAMA pediatrics · 2026Observational
- Health Plan Disenrollment and Mortality After Initiation of Medications for Opioid Use Disorder.JAMA psychiatry · 2026Article
- Changes in Emergency Department Payer Mix Among Children Following Medicaid Unwinding in Texas.Health services research · 2026Article
- Changes In Medical Debt And Bankruptcy After Acute Traumatic Injuries, 2019-21.Health affairs (Project Hope) · 2026Article
- Unwinding of Medicaid enrollment and increased uninsured emergency department visits in California.Health affairs scholar · 2026Article
- Association of Medicaid expansion with children's insurance coverage and healthcare utilization.Health affairs scholar · 2026Article
- Reducing Repeat Emergency Department Visits for Low-Acuity Patients Using a Healthcare Connection Program.The western journal of emergency medicine · 2025Article
- Insurance Churn and the COVID-19 Pandemic.JAMA health forum · 2025Article
- Changes in coverage stability and churning for private, individual insurance under the Affordable Care Act.Health affairs scholar · 2025Article
- Slipping Through the Cracks: Clinicians' Perspectives on the Gaps in New York City's Public Mental Health System.Community mental health journal · 2025Article
- Review
- Loss of Medicaid Coverage During the Renewal Process.JAMA health forum · 2024Article
- Small Marketplace Premiums Pose Financial And Administrative Burdens: Evidence From Massachusetts, 2016-17.Health affairs (Project Hope) · 2024Article
- The risk of losing health insurance in the United States is large, and remained so after the Affordable Care Act.Proceedings of the National Academy of Sciences of the United States of America · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
Health insurance coverage in the United States is highly uncertain. In the post-Affordable Care Act (ACA), pre-COVID United States, we estimate that while 12.5% of individuals under 65 are uninsured at a point in time, twice as many-one in four-are uninsured at some point over a 2-y period. Moreover, the risk of losing insurance remained virtually unchanged with the introduction of the landmark ACA. Risk of insurance loss is particularly high for those with health insurance through Medicaid or private exchanges; they have a 20% chance of losing coverage at some point over a 2-y period, compared to 8.5% for those with employer-provided coverage. Those who lose insurance can experience prolonged periods without coverage; about half are still uninsured 6 mo later, and almost one-quarter are uninsured for the subsequent 2 y. These facts suggest that research and policy attention should focus not only on the "headline number" of the share of the population uninsured at a point in time, but also on the stability and certainty (or lack thereof) of being insured.
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Registered trials
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