The coverage gap that Medicaid work requirements will widen

Volatile workers were correspondingly more likely to rely on Medicaid, by 12.2 to 18.9 percentage points, or the ACA marketplace, by 4.3 to 5.0 percentage points. The hour-tracking detail underneath those figures connects the study to benefits plan design. For income-volatile workers, 45.3% had hours that crossed above and below 20 hours per week across survey rounds, compared with 13.3% of stable workers. An employer whose eligibility threshold sits at 30 hours a week is looking at a workforce segment that routinely moves across that line.