Adults with income in the 250 percent to 400 percent of federal poverty level category suffered a bigger increase in uninsurance, year-over-year, than people in any other income category. (Photo: Shutterstock)

Problems in the commercial health insurance market may be overwhelming the ability of the Affordable Care Act premium tax credit program to help middle-income people stay covered.

Analysts at the U.S. Centers for Disease Control and Prevention have published data on middle-income U.S. residents’ declining use of private major medical insurance, and rising uninsurance rates, in a new batch of National Health Interview Survey data. 

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