The losses in coverage concentrated among younger adults and people buying their own health insurance policies.
Patients that are enrolled in Medicaid rate their overall health care at 7.9, on average, on a scale of 1 to 10.
There was an 'extraordinary reduction' seen among middle-aged adults after enactment of the health care law.
There were more racial disparity, versus traditional Medicare, for hospital readmissions for 6 major surgeries.
Recession and recovery, as well as implementation of health reform impacted health care coverage.
"Health-care reform isn't about a nameless, faceless 'system,'" the former president wrote. "It's about the millions of lives at stake."
However, the broad economic benefits of employment, increased personal income and increased state-tax revenues will cover the state's cost for expanded coverage.
States with Medicaid expansion have substantially improved access to care, affordability, chronic-disease management and self-reported health.
Studies suggest that significant out-of-pocket costs may harm low-income and chronically ill patients.