Monitoring the impact of health reform on American's ages 50--64: fewer Americans ages 50--64 have difficulty paying family medical bills after early ACA marketplace implementation
New data from the Urban Institute and the AARP Public Policy Institute show improvements in several measures of health care affordability for 50- to 64-year-olds over the first two open enrollment periods of the ACA.1 Between December 2013 and March 2015, the number of 50- to 64-year-olds reporting difficulty paying family medical bills or unmet health needs due to cost dropped. Despite improvements, health care affordability remains a concern among this age group. In March 2015, over 1 in 10 people ages 50 to 64 reported difficulty paying family medical bills, and nearly 1 in 3 experienced an unmet health need due to cost. Though those with continuous health coverage faced fewer affordability barriers than those who were uninsured or insured for only part of the year, 1 in 4 still experienced an unmet health need due to cost. Some vulnerable subgroups also continue to experience more difficulty affording care than others. Disparities exist even among 50- to 64-year-olds who are continually insured. This brief examines some important measures of health care affordability. Other aspects of affordability, such as having health care costs that exceed a set percentage of household income, were not measured in this survey.
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