More than 14M may have lost health coverage after historic job losses, study finds

More than 14M may have lost health coverage after historic job losses, study finds

Dive Brief:

As many as 7.7 million U.S. workers with employer-sponsored health insurance coverage lost their jobs by June as the fallout from the outbreak of the novel coronavirus — and the country’s inability to contain it — dramatically slowed the economy, according to the latest analysis from the Employee Benefit Research Institute, The Commonwealth Fund and W.E. Upjohn Institute for Employment Research. 
About 6.9 million dependents also were covered by the employer-sponsored insurance held by those 7.7 million workers who lost jobs, affecting a total of 14.6 million people. 
Still, not all job losses result in the immediate removal of employer-sponsored insurance, so it will still take time to capture the full impact of job loss on employer-sponsored coverage for both workers and dependents, the study cautioned.

Dive Insight:
The most common form of health insurance in the U.S. is employer-sponsored coverage, about 69% of the nation’s 152 million workers had this type of coverage as of March 2019, according to the study. 
As the U.S. recorded historic job losses, researchers and policymakers have been keen on trying to assess how that ultimately has affected health insurance coverage. 
It is not accurate to say, or assume, that with every job lost a worker’s insurance coverage is also lost. “The path from loss of a job with [employer-sponsored insurance] to loss of health insurance is not simple,” the report noted.
For example, some workers were only temporarily laid off or furloughed and more than half had maintained job-based coverage through a layoff, the study points out. 
And when workers do lose jobs permanently, it does not mean that they will ultimately become uninsured. They can elect to keep the company insurance through COBRA, may obtain coverage through other family members, such as a spouse, or enroll in Affordable Care Act marketplace or Medicaid.
CMS said last week more than 4 million people have enrolled in Medicaid as a result of the pandemic with a sharp increase since February, about when the public health emergency began.
In the latest analysis, researchers first tried to assess how many workers and dependents relied on job-based coverage as of March 2019. Then, using data from the Labor Department, they estimated how many workers lost jobs and how many of those had employer-based coverage. Researchers examined this information by industry, age and gender.
Some industries were affected more than others and a few were almost spared entirely. “As a result, we would expect the number of people losing jobs with [employer-sponsored insurance] to vary greatly by industry, and possibly by other characteristics, such as age and gender,” according to the report.
For example, manufacturing accounted for 10% of the nation’s prepandemic employment, yet by June represented 12% of unemployed workers.
The manufacturing industry has one of the highest rates of job-based coverage (66%), so “it accounted for a greater proportion of loss of jobs with ESI (18% of lost jobs with ESI and 19% of potential ESI coverage loss when dependents are included),” the study found. 

Retrieved from The Commonwealth Fund on October 07, 2020
 

Similarly, those between the ages of 35 to 44 and 45 to 54 experienced the brunt of job loss with job-based coverage. They accounted for 17% to 19% of those who lost jobs but 22% to 27% of total affected people, as those workers were most likely to cover dependents, according to the report.

Retrieved from The Commonwealth Fund on October 07, 2020
 

When zeroing in on gender, women made up 47% of prepandemic employment but represented 55% of total job loss and a bit more than half of the job loss with employer-sponsored coverage.

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