Growth In ACA-Compliant Marketplace Enrollment And Spending Risk Changes During The COVID-19 Pandemic

Hsu, John; Chin, Chia Yi; Weiss, Max; Cohen, Michael R.; Sastry, Jay; Katz-Christy, Nina; Bertko, John; Newhouse, Joseph P.

doi:10.1377/hlthaff.2021.00501

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…In agreement with previous studies conducted in the general population, we found that the uninsured rate did not change significantly among working‐age cancer survivors in 2020 despite increased unemployment amidst the COVID‐19 pandemic. This trend is potentially explained in part by increased enrollment in the Affordable Care Act Marketplace, especially in states that relaxed enrollment criteria in 2020, 9 and by the Families First Coronavirus Response Act, which increased the federal government's share of Medicaid costs, prohibited states from implementing new Medicaid eligibility restrictions, and prevented states from terminating Medicaid coverage during the public health emergency 10 . These provisions likely compensated for the loss in employer‐sponsored insurance 11 .…”

Section: Discussionmentioning

confidence: 99%

The first year of the COVID‐19 pandemic and health among cancer survivors in the United States

Han

Shi

Zhao

et al. 2022

Cancer

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Background Cancer survivors represent a population with high health care needs. If and how cancer survivors were affected by the first year of the coronavirus disease 2019 (COVID‐19) pandemic are largely unknown. Methods Using data from the nationwide, population‐based Behavioral Risk Factor Surveillance System (2017–2020), the authors investigated changes in health‐related measures during the COVID‐19 pandemic among cancer survivors and compared them with changes among adults without a cancer history in the United States. Sociodemographic and health‐related measures such as insurance coverage, employment status, health behaviors, and health status were self‐reported. Adjusted prevalence ratios of health‐related measures in 2020 versus 2017–2019 were calculated with multivariable logistic regressions and stratified by age group (18–64 vs. ≥65 years). Results Among adults aged 18–64 years, the uninsured rate did not change significantly in 2020 despite increases in unemployment. The prevalence of unhealthy behaviors, such as insufficient sleep and smoking, decreased in 2020, and self‐rated health improved, regardless of cancer history. Notably, declines in smoking were larger among cancer survivors than nonelderly adults without a cancer history. Few changes were observed for adults aged ≥65 years. Conclusions Further research is needed to confirm the observed positive health behavior and health changes and to investigate the role of potential mechanisms, such as the national and regional policy responses to the pandemic regarding insurance coverage, unemployment benefits, and financial assistance. As polices related to the public health emergency expire, ongoing monitoring of longer term effects of the pandemic on cancer survivorship is warranted.

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Section: Discussionmentioning

confidence: 99%

The first year of the COVID‐19 pandemic and health among cancer survivors in the United States

Han

Shi

Zhao

et al. 2022

Cancer

View full text Add to dashboard Cite

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Health Care Use of ACA Marketplace Enrollees During the COVID-19 Pandemic

Li,

Frazier,

Lissenden

et al. 2024

Med Care Res Rev

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The onset of the COVID-19 pandemic in March 2020 had a sudden and substantial impact on health care utilization for most, if not all, individuals. We study the impact the pandemic had on the population insured in the individual and small group markets under the Patient Protection and Affordable Care Act (ACA) of 2010, using administrative claims data from January 2019 through December 2021. Our results demonstrated how health care utilization differed between the acute phase (i.e., 2020) and the post-acute phase (i.e., 2021) compared with the pre-pandemic phase. We found that in the ACA markets, most spending and utilization categories decreased drastically during the initial months of the pandemic and recovered by the end of 2021. While the role of telehealth among office visits decreased substantially by the end of 2021, it remained the main mode of delivery for mental health services.

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Growth In ACA-Compliant Marketplace Enrollment And Spending Risk Changes During The COVID-19 Pandemic

Cited by 2 publications

References 7 publications

The first year of the COVID‐19 pandemic and health among cancer survivors in the United States

The first year of the COVID‐19 pandemic and health among cancer survivors in the United States

Health Care Use of ACA Marketplace Enrollees During the COVID-19 Pandemic

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