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We spend a lot of time talking about the importance of certain types of health coverage and care (i.e. Medi-Cal, subsidies in Covered California, and our safety net programs). These programs need our support because our most vulnerable populations rely on them for their continued health. But sometimes it’s good to look at what remains the source of health coverage for the majority of Americans: employer-sponsored insurance (ESI).
Earlier this year, The Robert Wood Johnson Foundation and the University of Minnesota’s State Health Access Data Assistance Center (SHADAC) released an interesting analysis of state-by-state trends in ESI over the past decade. Their findings showed that across the country ESI enrollment has decreased in the last 10 years, seemingly in line with a common criticism of the Affordable Care Act (ACA): that it will reduce the availability of and enrollment in ESI. However, the researchers caution that the ACA should be monitored and evaluated within the context of the larger trends in ESI over the years preceding its implementation: