Journal ArticleDOI
Sustained Gains In Coverage, Access, And Affordability Under The ACA: A 2017 Update
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TLDR
The significant gains in health insurance coverage and improvements in health care access and affordability that followed the implementation of the key coverage provisions of the Affordable Care Act in 2014 have persisted into 2017.Abstract:
The significant gains in health insurance coverage and improvements in health care access and affordability that followed the implementation of the key coverage provisions of the Affordable Care Act in 2014 have persisted into 2017. Adults in all parts of the country, of all ages, and across all income groups have benefited from a large and sustained increase in the percentage of the US population that has health insurance. The gains have been particularly striking among low- and moderate-income Americans living in states that expanded Medicaid. Our latest survey data from the Urban Institute’s 2017 Health Reform Monitoring Survey shows that only 10.2 percent of nonelderly adults are now uninsured—a decline of almost 41 percent from the period before implementation of the ACA. Nonetheless, repealing and replacing the ACA remained under consideration during the summer of 2017, along with more systematic changes to the financing of the Medicaid program. Many people will be at substantial risk if key compone...read more
Citations
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Journal ArticleDOI
Changes in Noninsurance and Care Unaffordability Among Cancer Survivors Following the Affordable Care Act.
TL;DR: Reductions in disparities by sociodemographic factors in noninsurance and care unaffordability among nonelderly cancer survivors following the ACA are observed, with largest decreases in females, those with low/medium income, multiple comorbid conditions, the unemployed, and those residing in Medicaid expansion states.
Journal ArticleDOI
ACA Medicaid Expansion and Insurance Coverage Among New Mothers Living in Poverty.
TL;DR: ACA Medicaid expansions are associated with increased Medicaid coverage and reduced uninsurance among poor new mothers, and opportunities remain for expansion and nonexpansion states to increase insurance coverage among new mothers living in poverty.
Journal ArticleDOI
Access denied: The relationship between patient insurance status and access to high-volume hospitals
Junaid Nabi,Karl H. Tully,Alexander P. Cole,Maya Marchese,Eugene B. Cone,Nelya Melnitchouk,Adam S. Kibel,Quoc-Dien Trinh +7 more
TL;DR: Underinsured patients face significant barriers in accessing high‐quality care and evidence of whether access to high‐volume surgical care is mediated by disparities in health insurance coverage remains wanting.
Journal ArticleDOI
Caesarean section in uninsured women in the USA: systematic review and meta-analysis.
TL;DR: CSs are less likely to be performed in uninsured women as compared with insured women, and in many regions the rates for uninsured women are above, close or below the benchmarks for appropriate CS rates and could imply both, underuse and overuse.
Journal ArticleDOI
Association of the Affordable Care Act Medicaid Expansion with Dilated Eye Examinations among the United States Population with Diabetes.
Evan M. Chen,Grayson W. Armstrong,Jacob T. Cox,David M. Wu,Donald R. Hoover,Lucian V. Del Priore,Ravi B. Parikh +6 more
TL;DR: Medicaid expansion policies were significantly associated with an increase in dilated eye examination rates within the first 2 years after implementation, however, this increase did not persist beyond this period, with nonsignificant increases 3 and 4 cumulative years after implemented.
References
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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
Early Coverage, Access, Utilization, and Health Effects Associated With the Affordable Care Act Medicaid Expansions: A Quasi-experimental Study.
Laura R. Wherry,Sarah Miller +1 more
TL;DR: State Medicaid expansions seem to be achieving the broad goals of the Patient Protection and Affordable Care Act, with an increase in insurance coverage among low-income adults in states that expanded Medicaid compared with those that did not.
Journal ArticleDOI
Early Impacts of the Affordable Care Act on Health Insurance Coverage in Medicaid Expansion and Non-Expansion States
TL;DR: The causal effects of the ACA on health insurance coverage in 2014 using data from the American Community Survey are estimated using difference- in-difference-in-differences models that exploit cross-sectional variation in the intensity of treatment arising from state participation in the Medicaid expansion and local area pre-ACA uninsured rates.
Journal ArticleDOI
The Health Reform Monitoring Survey: Addressing Data Gaps To Provide Timely Insights Into The Affordable Care Act
Sharon K. Long,Genevieve M. Kenney,Stephen Zuckerman,Dana E. Goin,Douglas Wissoker,Fredric Blavin,Linda J. Blumberg,Lisa Clemans-Cope,John Holahan,Katherine Hempstead +9 more
TL;DR: The HRMS data show that more than 60 percent of those targeted by the health insurance exchanges struggle with understanding key health insurance concepts, which raises concerns about some people's ability to evaluate trade-offs when choosing health insurance plans.