Lost in Translation — ¿<i>Cómo se dice,</i> “Patient Protection and Affordable Care Act”?

Breen, James O.

doi:10.1056/nejmp1202039

Cited by 8 publications

(4 citation statements)

References 2 publications

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“…Finally, an important factor may be that undocumented individuals are ineligible for insurance coverage through the ACA. (33, 34, 36, 37) The three states with the most undocumented individuals include California (6%), which accounts for most of the variability of results of early adopter states, and 2 non-adopter states, Texas (6%) and Florida (4%). (38) Over 70% of undocumented individuals from California and Texas are Mexican, and 19% from Florida are Mexican.…”

Section: Discussionmentioning

confidence: 99%

The Affordable Care Act Medicaid Expansion Correlated With Increased Heart Transplant Listings in African-Americans But Not Hispanics or Caucasians

Breathett

Allen

Helmkamp

et al. 2017

JACC: Heart Failure

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Objectives The aim of this study was to determine if the Affordable Care Act (ACA) Medicaid Expansion was associated with increased census-adjusted heart transplant listing rates for racial/ethnic minorities. Background Underinsurance limits access to transplants, especially among racial/ethnic minorities. Changes in racial/ethnic listing rates post the ACA Medicaid Expansion are unknown. Methods Using the Scientific Registry of Transplant Recipients, we analyzed 5,651 patients from early adopter states (implemented ACA Medicaid Expansion by 1/2014) and 4,769 patients from non-adopter states (no implementation during study period) from 2012–2015. Piecewise linear models, stratified by race/ethnicity, were fit to monthly census-adjusted rates of heart transplant listings before and after 1/2014. Results A significant 30% increase in the rate of heart transplant listings for African-Americans in early adopter states occurred immediately following the ACA Medicaid Expansion on 1/1/2014 [pre 0.15 to post 0.20/100,000, increase 0.05/100,000 (95%Confidence Interval (CI): 0.01,0.08)]; in contrast, the rates for African-Americans in non-adopter states remained constant [pre and post 0.15/100,000, increase 0.006/100,000 (95%CI: −0.03,0.04)]. Hispanics experienced an opposite trend, with no significant change in early adopter states [pre 0.03 to post 0.04/100,000, increase 0.01/100,000 (95%CI: −0.004,0.02)] and a significant increase in non-adopter states [pre 0.03 to post 0.05/100,000, increase 0.02/100,000 (95%CI: 0.002,0.03)]. There were no significant changes in listing rates among Caucasians in either early adopter or non-adopter states. Conclusions Implementation of the ACA Medicaid Expansion was associated with increased heart transplant listings in African-Americans but not Hispanics or Caucasians. Broadening of the ACA in states with large African-American populations may reduce disparities in heart transplant listings.

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Section: Discussionmentioning

confidence: 99%

The Affordable Care Act Medicaid Expansion Correlated With Increased Heart Transplant Listings in African-Americans But Not Hispanics or Caucasians

Breathett

Allen

Helmkamp

et al. 2017

JACC: Heart Failure

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“…In New Jersey, these connections should take into account the state’s highly diverse population, including older persons and foreign-born residents who will constitute an ever-increasing proportion of the uninsured because of exclusions to the Affordable Care Act. 27 …”

Section: Discussionmentioning

confidence: 99%

“…State and local governments should increase social network connections to its citizenry well in advance of the next disaster, natural or otherwise. In New Jersey, these connections should take into account the state’s highly diverse population, including older persons and foreign-born residents who will constitute an ever-increasing proportion of the uninsured because of exclusions to the Affordable Care Act 27 …”

Section: Discussionmentioning

confidence: 99%

Access to Care in the Wake of Hurricane Sandy, New Jersey, 2012

Davidow

Thomas

Kim

et al. 2016

Disaster med. public health prep.

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“…6 Current U.S. law prevents undocumented persons from procuring health care coverage through public exchanges, Medicaid, or Medicare; however, some undocumented immigrants receive health insurance through employers or private insurance plans. 6,7 The Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA), enacted by Congress in 1996, formally disqualifies undocumented immigrants from receiving most federal benefits and restricts immigrants who have been granted lawful-residence status from receiving federal benefits during the first 5 years of lawful residence. 8 Although undocumented immigrants may receive care from community-based Federally Qualified Health Centers (FQHCs) regardless of their immigration status or ability to pay, many undocumented immigrants living in areas underserved by FQHCs rely on charity care or out-of-pocket payment for nonemergency medical services.…”

Section: Und Ocumented Immigr Ant S In the United S Tatesmentioning

confidence: 99%