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US Well being Insurance coverage Traits: 2024-2034 – Healthcare Economist






The Congressional Finances Workplace (CBO) lately launched projections of US medical health insurance ranges between 2024 and 2034. Within the Hale et al. (2024) examine, CBO estimates that:

…92.3 p.c of the US inhabitants, or 316 million folks, have protection in 2024, and seven.7 p.c, or 26 million, are uninsured. The uninsured share of the inhabitants will rise over the course of the subsequent decade, earlier than settling at 8.9 p.c in 2034, largely on account of the top of COVID-19 pandemic–associated Medicaid insurance policies, the expiration of enhanced subsidies out there via the Inexpensive Care Act medical health insurance Marketplaces, and a surge in immigration that started in 2022. The biggest enhance within the uninsured inhabitants will probably be amongst adults ages 19–44. Employment-based protection would be the predominant supply of medical health insurance, and because the inhabitants ages, Medicare enrollment will develop considerably. After greater-than-expected enrollment in 2023, Market enrollment is projected to succeed in an all-time excessive of twenty-three million folks in 2025.

https://www.healthaffairs.org/doi/10.1377/hlthaff.2024.00460

CBO estimates that Medicare enrollment (in Elements A and B) will rise from 61m in 2024 to 74m in 2034. This isn’t stunning with an growing old inhabitants. Maybe extra stunning is that CBO initiatives Medicare Benefit enrollment will rise from simply over half of beneficiaries in 2024 to almost two-thirds of beneficiaries in 2034.

CBO estimates for medical health insurance ranges for the civilian noninstitutionalized inhabitants aged <65 years are based mostly on the CBO’s Well being Insurance coverage Simulation Mannequin (HISIM2), a structural anticipated utility mannequin. The small print behind the HISIM2 mannequin are defined in Hanson et al. (2023).

You’ll be able to learn the full examine right here, and the complete baseline projections right here.



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