A new study in Health Affairs examines insurance coverage disruptions that could occur under health care reform as individuals or families move between Medicaid coverage and subsidized coverage from private insurers that’s purchased through online state insurance exchanges.

Eligibility for Medicaid and premium-subsidized private coverage can often change as beneficiaries’ income rises and falls. Study authors estimate that within six months, “more than 35 percent of all adults with family incomes below 200 percent of the federal poverty level will experience a shift in eligibility from Medicaid to an insurance exchange, or the reverse; within a year, 50 percent, or 28 million, will.”

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