title: Coverage Gains After the Affordable Care Act Among the Uninsured in Minnesota.
abstract: OBJECTIVE
  We determined whether and how Minnesotans who were uninsured in 2013 gained health insurance coverage in 2014, 1 year after the Affordable Care Act (ACA) expanded Medicaid coverage and enrollment.
  
  
  METHODS
  Insurance status and enrollment experiences came from the Minnesota Health Insurance Transitions Study (MH-HITS), a follow-up telephone survey of children and adults in Minnesota who had no health insurance in the fall of 2013.
  
  
  RESULTS
  ACA had a tempered success in Minnesota. Outreach and enrollment efforts were effective; one half of those previously uninsured gained coverage, although many reported difficulty signing up (nearly 62%). Of the previously uninsured who gained coverage, 44% obtained their coverage through MNsure, Minnesota's insurance marketplace. Most of those who remained uninsured heard of MNsure and went to the Web site. Many still struggled with the enrollment process or reported being deterred by the cost of coverage.
  
  
  CONCLUSIONS
  Targeting outreach, simplifying the enrollment process, focusing on affordability, and continuing funding for in-person assistance will be important in the future.
authors.affiliation: Kathleen Thiede Call, Elizabeth Lukanen, Donna Spencer, Giovann Alarcón, and Jessie Kemmick Pintor are with the State Health Access Data Assistance Center, University of Minnesota School of Public Health, Minneapolis. Alisha Baines Simon and Stefan Gildemeister are with the Minnesota Department of Health, Health Economics Program, St. Paul.
authors.forename: Kathleen Thiede
authors.initials: KT
authors.lastname: Call
authors.affiliation: Kathleen Thiede Call, Elizabeth Lukanen, Donna Spencer, Giovann Alarcón, and Jessie Kemmick Pintor are with the State Health Access Data Assistance Center, University of Minnesota School of Public Health, Minneapolis. Alisha Baines Simon and Stefan Gildemeister are with the Minnesota Department of Health, Health Economics Program, St. Paul.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Lukanen
authors.affiliation: Kathleen Thiede Call, Elizabeth Lukanen, Donna Spencer, Giovann Alarcón, and Jessie Kemmick Pintor are with the State Health Access Data Assistance Center, University of Minnesota School of Public Health, Minneapolis. Alisha Baines Simon and Stefan Gildemeister are with the Minnesota Department of Health, Health Economics Program, St. Paul.
authors.forename: Donna
authors.initials: D
authors.lastname: Spencer
authors.affiliation: Kathleen Thiede Call, Elizabeth Lukanen, Donna Spencer, Giovann Alarcón, and Jessie Kemmick Pintor are with the State Health Access Data Assistance Center, University of Minnesota School of Public Health, Minneapolis. Alisha Baines Simon and Stefan Gildemeister are with the Minnesota Department of Health, Health Economics Program, St. Paul.
authors.forename: Giovann
authors.initials: G
authors.lastname: Alarcón
authors.affiliation: Kathleen Thiede Call, Elizabeth Lukanen, Donna Spencer, Giovann Alarcón, and Jessie Kemmick Pintor are with the State Health Access Data Assistance Center, University of Minnesota School of Public Health, Minneapolis. Alisha Baines Simon and Stefan Gildemeister are with the Minnesota Department of Health, Health Economics Program, St. Paul.
authors.forename: Jessie
authors.initials: J
authors.lastname: Kemmick Pintor
authors.affiliation: Kathleen Thiede Call, Elizabeth Lukanen, Donna Spencer, Giovann Alarcón, and Jessie Kemmick Pintor are with the State Health Access Data Assistance Center, University of Minnesota School of Public Health, Minneapolis. Alisha Baines Simon and Stefan Gildemeister are with the Minnesota Department of Health, Health Economics Program, St. Paul.
authors.forename: Alisha
authors.initials: A
authors.lastname: Baines Simon
authors.affiliation: Kathleen Thiede Call, Elizabeth Lukanen, Donna Spencer, Giovann Alarcón, and Jessie Kemmick Pintor are with the State Health Access Data Assistance Center, University of Minnesota School of Public Health, Minneapolis. Alisha Baines Simon and Stefan Gildemeister are with the Minnesota Department of Health, Health Economics Program, St. Paul.
authors.forename: Stefan
authors.initials: S
authors.lastname: Gildemeister
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D019458:Insurance Coverage / Q000706:statistics & numerical data*; D007348:Insurance, Health / Q000706:statistics & numerical data; D008297:Male; D008484:Medicaid / Q000706:statistics & numerical data; D017057:Medically Uninsured / Q000706:statistics & numerical data*; D008875:Middle Aged; D008910:Minnesota; D058991:Patient Protection and Affordable Care Act / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D014481:United States; D055815:Young Adult