Racial Differences in Awareness of the Affordable Care Act and Application Assistance Among Low-Income Adults in Three Southern States

Mosqueira, Adrian Garcia; Hua, Lynn M.; Sommers, Benjamin D.

doi:10.1177/0046958015609607

Cited by 14 publications

(13 citation statements)

References 6 publications

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“…28 Latino patients have been found to have less awareness of the ACA than the general population. 29 Furthermore, studies within the past 5 years have documented socioeconomic disparities in knowledge of basic concepts of health insurance. 30–33 An American Life Panel survey reported that approximately 30% of persons with an income at or below the federal poverty limit could correctly describe a deductible.…”

Section: Discussionmentioning

confidence: 99%

Elimination of Cost Sharing for Screening Mammography in Medicare Advantage Plans

et al. 2018

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BACKGROUND The Affordable Care Act (ACA) required most insurers and the Medicare program to eliminate cost sharing for screening mammography. METHODS We conducted a difference-in-differences study of biennial screening mammography among 15,085 women 65 to 74 years of age in 24 Medicare Advantage plans that eliminated cost sharing to provide full coverage for screening mammography, as compared with 52,035 women in 48 matched control plans that had and maintained full coverage. RESULTS In plans that eliminated cost sharing, adjusted rates of biennial screening mammography increased from 59.9% (95% confidence interval [CI], 54.9 to 65.0) in the 2-year period before cost-sharing elimination to 65.4% (95% CI, 61.8 to 69.0) in the 2-year period thereafter. In control plans, the rates of biennial mammography were 73.1% (95% CI, 69.2 to 77.0) and 72.8% (95% CI, 69.7 to 76.0) during the same periods, yielding a difference in differences of 5.7 percentage points (95% CI, 3.0 to 8.4). The difference in differences was 9.8 percentage points (95% CI, 4.5 to 15.2) among women living in the areas with the highest quartile of educational attainment versus 4.3 percentage points (95% CI, 0.2 to 8.4) among women in the lowest quartile. As indicated by the difference-in-differences estimates, after the elimination of cost sharing, the rate of biennial mammography increased by 6.5 percentage points (95% CI, 3.7 to 9.4) for white women and 8.4 percentage points (95% CI, 2.5 to 14.4) for black women but was almost unchanged for Hispanic women (0.4 percentage points; 95% CI, −7.3 to 8.1). CONCLUSIONS The elimination of cost sharing for screening mammography under the ACA was associated with an increase in rates of use of this service among older women for whom screening is recommended. The effect was attenuated among women living in areas with lower educational attainment and was negligible among Hispanic women. (Funded by the National Institute on Aging.)

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Section: Discussionmentioning

confidence: 99%

Elimination of Cost Sharing for Screening Mammography in Medicare Advantage Plans

et al. 2018

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“…; Derose and Baker 2000; Fiscella et al . ; Mosqueira, Hua, and Sommers ; Sanchez ; Sanchez and Morales ; Stephens and Artiga ; Valdez et al . ; Wallace et al .…”

Section: Public Policy As a Social Determinant Of Healthmentioning

confidence: 99%

The Impact of Punitive Immigrant Laws on the Health of Latina/o Populations

Vargas

Sánchez²,

Juárez³

2017

Politics & Policy

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This study examines how anti-immigrant policies affect the physical health of Latina/os in the United States. Merging two unique datasets: sum of anti-immigrant policies by state from 2005–2011 and a 2011 Robert Wood Johnson Center for Health Policy nationally representative sample of Latina/os (n=1,200), we estimate a series of logistic regressions to understand how anti-immigrant legislations are affecting the health of Latina/os. Our modeling approach takes into consideration Latinos’ diverse experience, context that is widely overlooked in datasets that treat Latina/os as a homogeneous ethnic group. Our findings suggest that an increase in anti-immigrant laws enacted by a state decreases the probability of respondents reporting optimal health, even when controlling for other relevant factors, such as citizenship status, language of interview, and interethnic variation. The implication and significance of this work has tremendous impacts for scholars, policy makers, health service providers and applied researchers interested in reducing health disparities among minority populations.

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“…These barriers to accessing health care include income inequalities (Clark et al. ), low levels of awareness of the ACA (Garcia Mosqueira, Hua, and Sommers ), and language proficiency and other health system barriers (Ortega, Rodriguez, and Vargas Bustamante ). Focusing on this specific eligible population, we were able to examine the differential effects of the expansion on health access and racial/ethnic disparities.…”

mentioning

confidence: 99%