According to the report, 13 states and the
The 12 million Americans expected to begin enrollment in the exchanges next year represent a new, emerging healthcare customer base with a demographic profile and health needs that differ from the current insured population, according to HRI analysis. States have two crucial decisions to make this fall that could have a big impact on this group's patient care a decade from now: whether to expand
"Newly-created exchanges represent the biggest insurance expansion since
A profile of the newly insured
PwC's HRI analyzed two federal databases to draw a full portrait of the 30 million Americans under age 65, who will stand to gain coverage under the Affordable Care Act (http://www.pwc.com/healthreform) by 2021. PwC's HRI analysis found:
* Close to one-third will gain coverage through
* A majority will enter the healthcare system relatively young and single, though significantly less educated and more likely to be unemployed or underemployed than the current insured population.
* They will have a median age of 33, and 88 percent report being in relatively good health today. More than 85 percent do not hold a college degree; 42 percent are employed full time; approximately 30 percent consider English a second language.
* They will have a median income of about 166 percent of the federal poverty level, or
Because of income fluctuations, many newly-insured Americans are expected to cycle between
"Serving a less educated, ethnically-diverse population that is more likely to cycle on and off government support will require creative outreach programs, more targeted products and stronger ongoing customer support," said
Implications for the health sector
State-based exchanges will create an irreversible shift in the insurance market that ultimately changes the way medical care is sold in the U.S. For the insurance industry (http://www.pwc.com/us/healthexchanges), they represent a major business opportunity -a market that will translate to$205 billion in premiums by 2021. The size of the exchange market will vary depending on states' decisions to expand