Source of Improved or More Affordable Coverage Under Three Reform Scenarios, 2014 Public Plan at Medicare Rates Public Plan at Intermediate Rates Private Plans Medicare 2 m 1% Employer Direct 9 m 5% Medicare 2 m 1% Medicare 2 m 1% Individual Exchange 18 m 10% Medicaid 16 m 8% Medicaid 16 m 10% Employer Direct 16 m 10% Individual Exchange 18 m 12% Medicaid 16 m 12% Employer Direct 21 m 16% Individual Exchange 19 m 14% Employer Exchange 141 m 76% Employer Exchange 102 m 66% Employer Exchange 72 m 57% THE COMMONWEALTH FUND Data: Estimates by The Lewin Group for The Commonwealth Fund.