AHRQ Stats: Declines in Employer-Sponsored Insurance

Enrollment rates for employer-sponsored insurance fell 7.1 percentage points from 2008 to 2015 in states that expanded Medicaid under the Affordable Care Act. The decline was 4.5 percentage points in non-xpansion states. (Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey Statistical Brief #499, Trends in Enrollment, Offers, Eligibility and Take-up for Employer-Sponsored Insurance: Private Sector, by State Medicaid Expansion Status, 2008-2015.)

STATISTICAL BRIEF #499:
Trends in Enrollment, Offers, Eligibility and Take-Up for Employer-Sponsored Insurance: Private Sector, by State Medicaid Expansion Status, 2008-2015

February 2017

Phil Cooper, PhD, Karen Davis, MA, and G. Edward Miller, PhD

Highlights

From 2008 to 2015, the enrollment rate fell in both groups of states, but the decline was more rapid in expansion states than in non-expansion states (7.1 versus 4.5 percentage points).
The decline in the eligibility rate in expansion states (from 2008 to 2015) accounts, in part, for the more rapid decline in enrollment rates in expansion states compared to non-expansion states.
The larger decline in the take-up rate in expansion states than in non-expansion states also accounts for part of the differential trends in enrollment rates observed for expansion and non-expansion states.