The Times West Virginian

Community News Network

January 2, 2014

Four ways to tell if Affordable Care Act is working

WASHINGTON — We are now days into the health-care law's insurance expansion, which began at midnight on Jan. 1. And it is, alas, far too early to tell if the nation's new health-care reform is working. We know that no "death panels" have materialized but, aside from that, have very little information about how the Affordable Care Act's newly insured are changing our health-care system.

It is not too early though to think a bit about what "working" actually means. There are a handful of ways that we tend to measure the success of health insurance expansions in the United States. The Patient Protection and Affordable Care Act (ACA) is no exception here; it's a complex law where there are at least four policy outcomes that all count as some definition of "working."

Do more people have health insurance?

One key goal of the health law was to reduce the uninsured rate by making it easier for the 48 million Americans without insurance coverage to get it. The Congressional Budget Office projects that about 30 million people will gain coverage over the next decade, compared to a scenario where the ACA had never passed. That will be one yardstick by which to tell if the health-care law is working: Whether more people have coverage.

This is actually difficult to measure, at least in the short-term, because there's no national clearinghouse of people who do or don't have insurance. The combination of insurance cancellations and exchange sign-ups make it really hard to know, at this very moment, whether the health law has led to a net gain in coverage. The Census Bureau does do annual surveys on insured rates, but those come out on a bit of a delay. The federal agency won't publish data on 2014, for example, until the fall of 2015.

Text Only
Community News Network
  • Arizona's prolonged lethal injection is fourth in U.S. this year

    Arizona's execution of double-murderer Joseph Wood marked the fourth time this year that a state failed to dispatch a convict efficiently, according to the Constitution Project, a bipartisan legal group.3

    July 24, 2014

  • Police Brutality screen shot. Technology plays key part in battling police brutality (VIDEO)

    Allegations of police brutality are nothing new -- as long as there has been law enforcement, citizens have registered claims that some officers cross the line. But in the last few years, the claims of excessive force are being corroborated with new technology from cell phone cameras, police dash-cams and surveillance videos. 

    July 24, 2014 1 Photo

  • Facebook continues moneymaking trend

    Facebook seems to have figured out - for now at least - the holy grail for all media right now: how to make money selling mobile ads.

    July 24, 2014

  • Has the ipad lost its swag?

    July 24, 2014

  • Almost half of America's obese youth don't know they're obese

    The good news is that after decades of furious growth, obesity rates finally seem to be leveling off in the U.S.. The bad news is that America's youth still appear to be dangerously unaware of the problem.

    July 23, 2014

  • 072214 Diamond Llama 1.jpg Llama on the loose corralled in Missouri town

    A llama on the lam cruised Main Street Tuesday before it mistook a resident’s fenced backyard for a place to grab a meal and freshen up.

    July 22, 2014 2 Photos

  • An oncologist uses scorpion venom to locate cancer cells

    Olson, a pediatric oncologist and research scientist in Seattle, has developed a compound he calls Tumor Paint. When injected into a cancer patient, it seems to light up all the malignant cells so surgeons can easily locate and excise them.

    July 22, 2014

  • Screen Shot 2014-07-22 at 2.00.42 PM.png VIDEO: Train collides with semi truck carrying lighter fluid

    A truck driver from Washington is fortunate to be alive after driving his semi onto a set of tracks near Somerset, Ky., and being struck by a locomotive, which ignited his load of charcoal lighter fluid.

    July 22, 2014 1 Photo

  • mama.jpg What we get wrong about millennials living at home

    If the media is to be believed, America is facing a major crisis. "Kids," some age 25, 26, or even 30 years old, are living out of their childhood bedrooms and basements at alarmingly high numbers. The hand-wringing overlooks one problem: It's all overblown.

    July 22, 2014 1 Photo

  • Hospitals let patients schedule ER visits

    Three times within a week, 34-year-old Michael Granillo went to the emergency room at Northridge Hospital Medical Center in Los Angeles because of intense back pain. Each time, Granillo, who didn't have insurance, stayed for less than an hour before leaving without being seen by a doctor.

    July 21, 2014

House Ads
Featured Ads