Commonwealth Fund

Affordable, quality health care. For everyone.

Universal Coverage

Latest Publications on Universal Coverage

patient talking to doctor about insurance
Issue Briefs

Comparing Health Insurance Reform Options: From “Building on the ACA” to Single Payer


By Linda J. Blumberg, John Holahan, Matthew Buettgens, Anuj Gangopadhyaya, Bowen Garrett, Adele Shartzer, Michael Simpson, Robin Wang, Melissa M. Favreault, Diane Arnos
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Reform 3 — ACA Enhanced III: Filled Medicaid Eligibility Gap


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Reform 7 — Single Payer “Lite”


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Reform 1 — ACA Enhanced I: Expanded Subsidies


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Reform 5 — Universal Coverage I: Private and Public Options


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Reform 8 — Single Payer Enhanced


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Reform 2 — ACA Enhanced II: Restored Mandate


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Reform 6 — Universal Coverage II: Enhanced Subsidies


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Among uninsured adults who knew the mandate penalty was repealed, one-quarter chose not to get coverage because of the repeal


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There is strong public support for expanding Medicaid in the states that haven’t yet done so