Maximiliane Hoerl|Amelie Wuppermann|Silvia Helena Barcellos|Sebastian Bauhoff|Joachim Winter|Katherine Grace Carman
Knowledge as a Predictor of Insurance Coverage Under the Affordable Care Act
University of Southern California|Center for Global Development|RAND Corporation
affordable care act established policy mechanisms increase health insurance coverage united states insurance coverage increased 1015 us population remains uninsuredto assess whether health insurance literacy financial literacy predict uninsured covered medicaid covered marketplace insurance holding demographic characteristics attitudes toward risk political affiliation constantanalysis longitudinal data fall 2013 spring 2015 including financial health insurance literacy key covariates collected 2013a total 2742 us residents ages 1864 525 uninsured fall 2013 participating rand american life panel nationally representative internet panelselfreported health insurance status type spring 2015among uninsured 2013 higher financial health insurance literacy associated greater probability insured 2015 typical uninsured individual 2013 probability insured 2015 83 percentage points higher high compared low financial literacy 92 percentage points higher high compared low health insurance literacy general population high financial health insurance literacy likely obtain insurance medicaid marketplaces compared uninsured magnitude coefficients predictors similar commonly used demographic covariatesa lack understanding health insurance concepts financial illiteracy predict remains uninsured outreach consumereducation programs consider characteristics