title: Americans' Experiences with ACA Marketplace and Medicaid Coverage:  Access to Care and Satisfaction: Findings from the Commonwealth Fund Affordable Care Act Tracking Survey, February–April 2016.
abstract: The fourth wave of the Commonwealth Fund Affordable Care Act Tracking Survey, February--April 2016, finds at the close of the third open enrollment period that the working-age adult uninsured rate stands at 12.7 percent, statistically unchanged from 2015 but significantly lower than 2014 and 2013. Uninsured rates in the past three years have fallen most steeply for low-income adults though remain higher compared to wealthier adults. ACA marketplace and Medicaid coverage is helping to end long bouts without insurance, bridge gaps when employer insurance is lost, and improve access to health care. Sixty-one percent of enrollees who had used their insurance to get care said they would not have been able to afford or access it prior to enrolling. Doctor availability and appointment wait times are similar to those reported by insured Americans overall. Majorities with marketplace or Medicaid coverage continue to be satisfied with their insurance.
authors.affiliation: Commonwealth Fund
authors.forename: Sara R
authors.initials: SR
authors.lastname: Collins
authors.affiliation: Commonwealth Fund
authors.forename: Munira
authors.initials: M
authors.lastname: Gunja
authors.affiliation: Commonwealth Fund
authors.forename: Michelle M
authors.initials: MM
authors.lastname: Doty
authors.affiliation: Commonwealth Fund
authors.forename: Sophie
authors.initials: S
authors.lastname: Beutel
mesh_terms: D000328:Adult; D005006:Ethnicity; D006264:Health Benefit Plans, Employee; D019538:Health Care Surveys; D062265:Health Insurance Exchanges; D006297:Health Services Accessibility / Q000706:statistics & numerical data* / Q000639:trends; D006801:Humans; D019458:Insurance Coverage / Q000706:statistics & numerical data* / Q000639:trends; D007348:Insurance, Health / Q000706:statistics & numerical data* / Q000639:trends; D008484:Medicaid / Q000706:statistics & numerical data*; D017057:Medically Uninsured / Q000706:statistics & numerical data*; D008875:Middle Aged; D058991:Patient Protection and Affordable Care Act / Q000706:statistics & numerical data* / Q000639:trends; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011320:Primary Health Care; D044469:Racial Groups; D014481:United States; D014850:Waiting Lists