Letters5 August 2014
    Author, Article, and Disclosure Information

    Background: Young adults comprise a large percentage of uninsured persons (1). Efforts to insure more young adults were widespread during the Patient Protection and Affordable Care Act's first open enrollment period for the health insurance marketplace.

    Objective: To elicit reactions and feedback from young adults on ways to improve the HealthCare.gov insurance selection process.

    Methods: We observed 33 highly educated young adults, aged 19 to 30 years, navigating the HealthCare.gov Web site in Philadelphia, Pennsylvania, between January and March 2014. As they made decisions about health insurance, they explained their thinking in real time. We interviewed participants about their impressions ...