ACA Impacts

Satisfaction Rates

April – June, 2014 Commonwealth Fund Poll

Commonwealth Fund conducted the survey from a July-to-September 2013 period, before Americans began enrolling in the Affordable Care Act, and then again from April-to-June 2014, following the end of open enrollment.

Individuals and families who enroll in Obamacare — including the overwhelming majority of Republicans — are satisfied with the product:

  • Overall, 73 percent of people who bought health plans and 87 percent of those who signed up for Medicaid said they were somewhat or very satisfied with their new health insurance.
  • Seventy-four percent of newly insured Republicans liked their plans.
  • 77 percent of people who had insurance before — including members of the much-publicized group whose plans got canceled last year — were happy with their new coverage.
  • The percentage of uninsured has dropped, from 20 percent to 15 percent, after the first open enrollment period, with 9.5 million fewer people now uninsured. Latinos, the most likely of any racial group to lack health insurance, are seeing the biggest gains in coverage. The percent uninsured fell from 36 percent in July–September 2013 to 23 percent in April–June 2014,
  • States that expanded their Medicaid programs experienced the biggest drop in uninsurance rates for low-income citizens. In the 25 states and the District of Columbia that implemented coverage expansion for poorer residents, the average uninsured rate for people living below the poverty level fell to 17 percent from 28 percent. The 26 states that have rejected Medicaid expansion continue to see the uninsured rate among low income individuals hover at 36 percent.
  • The number of uninsured young adults dropped the most, from 28 percent to 18 percent.
  • More than half of adults — 58 percent — with new insurance said they were better off now than they were before.
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