Journal ArticleDOI
A Decade Of Health Care Access Declines For Adults Holds Implications For Changes In The Affordable Care Act
TLDR
This paper's analysis of national survey estimates found that access to health care and use of health services for adults ages 19-64--the primary targets of the Affordable Care Act--deteriorated between 2000 and 2010, particularly among those who were uninsured.Abstract:
The pending Supreme Court decision on the Affordable Care Act and the fall presidential election raise concerns about what would happen if the insurance expansion promised by the landmark health reform law were to be curtailed. This paper’s analysis of national survey estimates found that access to health care and use of health services for adults ages 19–64—the primary targets of the Affordable Care Act—deteriorated between 2000 and 2010, particularly among those who were uninsured. More than half of uninsured US adults did not see a doctor in 2010, and only slightly more than a quarter of these adults were seen by a dentist. We also found that children—many of whom qualify for public coverage through Medicaid and the Children’s Health Insurance Program—generally maintained or improved their access to care during the same period. This provides a reason for optimism about the ability of the coverage expansion in the Affordable Care Act to improve access for adults, but it suggests that eliminating the law...read more
Citations
More filters
Journal ArticleDOI
Changes in Self-reported Insurance Coverage, Access to Care, and Health Under the Affordable Care Act
TL;DR: The ACA's first 2 open enrollment periods were associated with significantly improved trends in self-reported coverage, access to primary care and medications, affordability, and health.
Journal ArticleDOI
Racial/Ethnic and Gender Disparities in Health Care Use and Access
TL;DR: Ongoing research is needed to track patterns of health service use and access, especially among vulnerable racial/ethnic and gender groups, to determine whether existing efforts under health care reform reduce long-standing disparities.
Journal ArticleDOI
Recent trends in the utilization of dental care in the United States
TL;DR: It is reported that the overall trend masked significant variation by age and poverty level, and the authors predict a continued decline in the utilization of dental services among non-elderly adults.
Journal ArticleDOI
Annual Report on Health Care for Children and Youth in the United States: Trends in Racial/Ethnic, Income, and Insurance Disparities Over Time, 2002–2009
TL;DR: Examining trends in children's health access, utilization, and expenditures over time by race/ethnicity, income, and insurance status/expected payer sheds light on children's disparities during the most recent economic crisis.
Journal ArticleDOI
Disparities in access to health care among adults with physical disabilities: analysis of a representative national sample for a ten-year period.
Elham Mahmoudi,Michelle A. Meade +1 more
TL;DR: Being female, living at or near the poverty level, and lacking health insurance increased the odds of unmet health care needs, and Sociodemographic and health factors were related to unmet needs in all three measures of access to care.
References
More filters
Journal ArticleDOI
Growth in US health spending remained slow in 2010; health share of gross domestic product was unchanged from 2009.
TL;DR: In 2010 extraordinarily slow growth in the use and intensity of services led to slower growth in spending for personal health care, and the rates of growth in overall US gross domestic product and in health spending began to converge in 2010.
Journal ArticleDOI
The 2007–09 Recession And Health Insurance Coverage
TL;DR: The growth in the number of uninsured people was particularly noticeable for whites, native-born citizens, and residents of the Midwest and South during the recent economic recession, highlighting the importance of planned coverage expansions under the Affordable Care Act.
Journal ArticleDOI
Access And Affordability: An Update On Health Reform In Massachusetts, Fall 2008
Sharon K. Long,Paul B. Masi +1 more
TL;DR: Building on that coverage expansion, access to and affordability of care in the commonwealth have improved, and Massachusetts continues to offer lessons for national reform efforts.
Journal ArticleDOI
Funding Growth Drives Community Health Center Services
TL;DR: It is shown that the investments made in federally qualified health centers during 1996-2006 clearly translated into an increase in services available to patients, including mental health and substance abuse treatment and counseling and staffing.
Related Papers (5)
Recent trends in the utilization of dental care in the United States
Insurance and Cardiovascular Health: Time for Evidence to Trump Politics.
Rishi K. Wadhera,Karen E. Joynt +1 more