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Preparing the Health Insurance Marketplaces for the COVID-19 Recession

  • 1Duke Margolis Center for Health Policy, Duke University, Durham, North Carolina
  • 2University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania

Researchers at the Urban Institute recently estimated that 25 to 43 million people in the US will lose their employer-sponsored insurance as a result of the coronavirus disease 2019 (COVID-19) pandemic.1 These coverage losses have created an urgent need to transition those who have newly lost insurance to other forms of health insurance, lest they avoid seeking medical care or incur catastrophic medical debt for doing so. The Health Insurance Marketplaces created by the Affordable Care Act will play a large role in providing nonelderly Americans with health insurance during the COVID-19 recession. The same Urban Institute study estimated that 6 to 10 million Americans will regain health insurance coverage through the Marketplaces.1 Continuous insurance coverage increases the probability of continuity of care for patients.

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