Key Provisions of the Patient Protection and Affordable Care Act (<scp>ACA</scp>): A Systematic Review and Presentation of Early Research Findings

French, Michael T.; Homer, Jenny F.; Gümüş, Gülçin; Hickling, Lucas

doi:10.1111/1475-6773.12511

Cited by 137 publications

(122 citation statements)

References 74 publications

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“…Existing evidence on the ACA suggests that it is associated with a large change in health insurance coverage and use of medical care (French et al. ; Obama ). The results from our study do not preclude potential associations of the ACA with infant health.…”

Section: Discussionmentioning

confidence: 99%

The Association of Health Reform and Infant Health: Evidence from Massachusetts

Boudreaux

Dagher

Lorch

2017

Health Services Research

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We found no evidence that the Massachusetts reform was associated with improvements in individual low birthweights or county-level infant mortality rates, despite increasing health insurance coverage rates for adult women of child-bearing age. Because our mortality analysis was ecological, we are not able to draw conclusions about how an individual-level health insurance intervention for uninsured pregnant women would affect the mortality outcomes of their infants.

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Section: Discussionmentioning

confidence: 99%

The Association of Health Reform and Infant Health: Evidence from Massachusetts

Boudreaux

Dagher

Lorch

2017

Health Services Research

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“…Following prior studies of the impact of the DCE (Breslau et al, 2017; French et al, 2016; Sommers et al, 2013), we examined its impact on substance use outcomes using a difference-in-differences (DD) model. The DD model is specified using repeated cross-sectional data to compare change over the time in the 19 to 25 age group with change over the same period in the 26 to 34 age group.…”

Section: Methodsmentioning

confidence: 99%

Did the dependent coverage expansion increase risky substance use among young adults?

Breslau

Han

et al. 2017

Drug and Alcohol Dependence

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Background The dependent coverage expansion (DCE) enacted through the Affordable Care Act increased health insurance coverage among young adults. Increasing insurance coverage in this age group has the potential for unintended consequences on risky substance use. Methods Repeated cross-sectional surveys were used to compare change in substance use during the period the DCE was implemented in the 19–25 year old target age group (Pre-DCE n=15,772, Post-DCE n=22,719) with contemporaneous change in a slightly older age group that was not targeted by the policy (Pre-DCE=19,851, Post-DCE n=28,157). Outcomes include 11 measures of alcohol, illicit drug and cigarette use. Statistical controls were included for demographic and socioeconomic factors and for early initiation of substance use to adjust for historical trends in developmental trajectories. Results Risky substance use decreased in young adults relative to the older age group over the period that the DCE was implemented. However, statistical adjustment for initiation of substance use prior to age 18, which is prior to exposure to the DCE, accounted for the differences between the age groups. In adjusted models, associations between the DCE and substance use outcomes range from 0.96 to 1.08 with p-values ranging from .330 to .963. Conclusions Historical trends in initiation of substance use prior to age 18, not the DCE, account for change in risky substance use among 19 to 25 year olds relative to 26 to 34 year olds. The evidence does not support the suggestion that health insurance coverage would increase risky substance use among young adults.

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“…In the United States, the Patient Protection and Affordable Care Act (ACA) was enacted in 2010 to reform both public and private health insurance provision . Beginning in late 2010, the dependent coverage provision of the ACA required commercial insurers to extend policyholders’ coverage to all dependent children ages 19–25 years .…”

Section: Introductionmentioning

confidence: 99%

The effect of the affordable care act dependent coverage provision on patients with cystic fibrosis

Tumin

Kopp

et al. 2017

Pediatric Pulmonology

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Key Provisions of the Patient Protection and Affordable Care Act (ACA): A Systematic Review and Presentation of Early Research Findings

Abstract: The ACA will either directly or indirectly affect almost all Americans. As new and comprehensive data become available, more rigorous evaluations will provide further insights as to whether the ACA has been successful in achieving its goals.

Cited by 137 publications

References 74 publications

The Association of Health Reform and Infant Health: Evidence from Massachusetts

The Association of Health Reform and Infant Health: Evidence from Massachusetts

Did the dependent coverage expansion increase risky substance use among young adults?

The effect of the affordable care act dependent coverage provision on patients with cystic fibrosis

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