Sustained Gains In Coverage, Access, And Affordability Under The ACA: A 2017 Update

Long, Sharon K.; Bart, Lea; Karpman, Michael; Shartzer, Adele; Zuckerman, Stephen

doi:10.1377/hlthaff.2017.0798

Cited by 36 publications

(40 citation statements)

References 6 publications

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“…In this paper, we focus on California because it was the largest of the early expansion states and its staggered expansion across counties offers a useful quasi-experimental research design for studying the effects of the coverage expansion to low-income adults. This study builds on previous research (10, 11) demonstrating the impact of the ACA's Medicaid expansions on health insurance coverage and extends the analysis to evaluate the effects of the ACA on access to care and out-of-pocket health care spending.…”

Section: Early Expansion In Californiamentioning

confidence: 89%

California’s Early ACA Expansion Increased Coverage And Reduced Out-Of-Pocket Spending For The State’s Low-Income Population

2015

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The Affordable Care Act has expanded Medicaid to millions of low-income adults since the law first went into effect. While many states implemented the Medicaid expansion since 2014, five states and the District of Columbia took advantage of provisions in the ACA and Medicaid waivers that allowed them to expand public coverage as early as 2010. We examined the impact of California's Low-Income Health Program that began in 2010, using restricted data from the National Health Interview Survey. Our study demonstrates that the county-by-county roll out of expanded eligibility for public insurance in California increased coverage by 7 percentage points (p < 0.05) and reduced the likelihood of any family out-of-pocket medical spending in the past year by 10 percentage points (p < 0.05) among low-income adults.

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Section: Early Expansion In Californiamentioning

confidence: 89%

California’s Early ACA Expansion Increased Coverage And Reduced Out-Of-Pocket Spending For The State’s Low-Income Population

2015

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“…In 2014, the population included only 3 % foreigners, mostly Mongoloid Chinese [23]. Therefore, unlike multiethnic countries, there are few racial barriers present in South Korea; hence, economic barriers are considered to be the most important factors restricting access to dental health-care services [24]. To overcome the SES disparities, various public health and insurance policies have been implemented.…”

Section: Discussionmentioning

confidence: 99%

National dental policies and socio-demographic factors affecting changes in the incidence of periodontal treatments in Korean: A nationwide population-based retrospective cohort study from 2002–2013

Lee

Choi

et al. 2016

BMC Oral Health

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BackgroundDental insurance coverage has recently expanded in Korea. The number of patients diagnosed with periodontal disease (PD), and the actual number of periodontally compromised patients has increased. However, few studies have investigated the relationships between the prevalence of periodontal disease and the incidence of PD treatment, dental insurance policies, and socio-demographic factors. To determine the incidence of periodontal treatments required, the comprehensive longitudinal data of the National Health Insurance Service were used. This study evaluated changes in the incidence of periodontal treatments, using data from the Korean National Health Insurance Cohort Database.MethodsA random stratified sample of 1,025,340 Korean patients was selected from National Health Insurance database, using 1,476 multistage samplings (of sex, age, and income level) for 12 years from 2002 to 2013. Chi-square analysis, and univariate, and multivariate logistic regression were used to evaluate the association of socio-demographic factors with the prevalence of PD and the incidence of periodontal treatment.ResultsThe incidence of periodontal treatment steadily and significantly increased, in both male and female participants, from 2002 to 2013. The increase was associated with socio-demographic factors and changes in national dental insurance policies. The incidence of periodontal treatment evaluated by age is influenced by the changes in national dental policies. These results suggest that the increase in patients diagnosed with PD reflects changes in dental policies and insurance benefits.ConclusionsThis study confirms that national dental policies and socio-demographic factors are related to the incidence of periodontal treatments. The incidence of periodontal treatment is significantly related to the expansion of insurance coverage in South Korea.

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“…Current estimates suggest that nearly 4 million uninsured adults have fallen into the coverage gap in states that did not expand Medicaid; that is, these 4 million have incomes between the individual state’s Medicaid eligibility limits and the lower bound for receiving Marketplace premium tax credits (Garfield and Young 2015). If they lived in a Medicaid-expansion state, these individuals would have gained health insurance; consequently, uninsurance rates in non-expansion states lag behind those that accepted Medicaid expansion (Long et al 2014). Therefore, studying the difference between individuals falling into the coverage gap and similar adults in Medicaid expansion states could potentially provide additional insight into the scope and extent of the social and economic impacts of the ACA.…”

Section: Discussionmentioning

confidence: 99%

“… a See Long et al (2015) for a detailed discussion of the nonfederal surveys providing information on the ACA. …”

Section: National Data Sources27mentioning

confidence: 99%

The ACA: Impacts on Health, Access, and Employment

Serakos

Wolfe

2016

Forum for Health Economics and Policy

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On March 23, 2010, President Barack Obama signed the Patient Protection and Affordable Care Act (ACA) into law. This comprehensive health care reform legislation sought to expand health care coverage to millions of Americans, control health care costs, and improve the overall quality of the health care system. The ACA required that all US citizens and legal residents have qualifying health insurance by 2014. In this paper we give readers a brief overview of the effects of the ACA based on recent research. We then turn our attention to the possibility of using the ACA expansion to answer important underlying questions, such as: To what extent does the holding of insurance lead to improvements in access to care? To what extent does the holding of coverage lead to improvements in health? In mental health? Are there likely general equilibrium effects on labor force participation, hours worked, employment setting, and indeed even the probability of marrying? By necessity, researchers’ ability to answer these questions depends on the availability of data, so we discuss current and potential data sources relevant for answering these questions. We also look to what has been studied about the health reform in Massachusetts and early Medicaid expansions to speculate what we can expect to learn about the effects of the ACA on these outcomes in the future.

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Sustained Gains In Coverage, Access, And Affordability Under The ACA: A 2017 Update

Cited by 36 publications

References 6 publications

California’s Early ACA Expansion Increased Coverage And Reduced Out-Of-Pocket Spending For The State’s Low-Income Population

California’s Early ACA Expansion Increased Coverage And Reduced Out-Of-Pocket Spending For The State’s Low-Income Population

National dental policies and socio-demographic factors affecting changes in the incidence of periodontal treatments in Korean: A nationwide population-based retrospective cohort study from 2002–2013

The ACA: Impacts on Health, Access, and Employment

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