A new analysis from the State Health Access Data Assistance Center (SHADAC) shows a statistically significant decline in high-burden health care spending among people with individual-market coverage since the 2014 implementation of the Affordable Care Act (ACA). These and other findings are described in a new brief, funded by the California Health Care Foundation, that examines changes in state and national measures of financial burden and cost-related barriers to care since implementation of the ACA.
Between 2013 and 2015, there was a statistically significant 5.9 percentage point decline (from 44.7% to 38.8%) in the US rate of people with individual-market coverage who reported spending more than 10% of family income on out-of-pocket health costs. This includes spending such as insurance premiums, deductibles, copays, and spending on prescription drugs. Average out-of-pocket spending among people with individual-market coverage also declined significantly over the same period from $6,831 to $5,508.