The Washington Post/Kaiser Family Foundation Survey of Iraq and Afghanistan Active Duty Soldiers and Veterans

DiJulio, Bianca; Brodie, Mollyann; Jankiewicz, Anne; Rousseau, David

doi:10.1001/jama.2014.7346

Cited by 34 publications

(45 citation statements)

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“…Enrollment by the previously uninsured in the ACA health insurance exchanges has been below initial expectations (Levitt et al, ), especially by those with higher incomes (Avalere, ). Some surveys point to the perceived high cost and low benefits of coverage (in terms of net of subsidy premiums and high levels of cost sharing) and the relatively low penalties for remaining uninsured (prior to their repeal) as the main reasons behind this shortfall (DiJulio, Firth, and Brodie, ). This experience has led to heightened interest in why many people with incomes above poverty fail to purchase insurance.…”

Section: Introductionmentioning

confidence: 99%

Losses (and Gains) from Health Reform for Non‐Medicaid Uninsureds

Pauly

Leive

Harrington

2018

J of Risk & Insurance

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This article examines how the Affordable Care Act (ACA) would change financial resources for and transfers to the previously uninsured if they were to purchase coverage in the ACA insurance exchanges (marketplaces) in 2014. The results suggest that the law provides gains to some, relative to their spending in the pre‐ACA period, particularly those in poor health and with very low incomes, but it also potentially imposes financial losses on many, again compared to their experience when uninsured. We estimate changes in expected payments—defined as premiums plus expected out‐of‐pocket costs—from purchasing coverage and paying cost sharing post‐ACA, relative to expected out‐of‐pocket payments when being uninsured pre‐ACA, across population subgroups characterized by income, age, and health status. We also estimate changes in expected transfers to the previously uninsured under alternative assumptions on how much health care spending increases after the ACA.

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Section: Introductionmentioning

confidence: 99%

Losses (and Gains) from Health Reform for Non‐Medicaid Uninsureds

Pauly

Leive

Harrington

2018

J of Risk & Insurance

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“…Physicians ask about ACP surprisingly infrequently, 11,12 and do not feel well trained to discuss prognosis and ACP with patients. 13,14 A 2015 Kaiser Family Foundation poll found that 66% of respondents 75 or older never discussed ACP with their physicians.…”

Section: Introductionmentioning

confidence: 99%

“…13,14 A 2015 Kaiser Family Foundation poll found that 66% of respondents 75 or older never discussed ACP with their physicians. 12 Obstacles include the fact that patient preferences change over time and with changes in health. 15,16 Much evidence about ACP is from oncology, raising questions about generalizability.…”

Section: Introductionmentioning

confidence: 99%

Provider Perspectives on Advance Care Planning Documentation in the Electronic Health Record: The Experience of Primary Care Providers and Specialists Using Advance Health-Care Directives and Physician Orders for Life-Sustaining Treatment

Dillon

Chuang

Gupta

et al. 2017

Am J Hosp Palliat Care

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“…1 Patients with chronic conditions have benefitted from these medications through reduced morbidity and mortality, and increased health-related quality of life. 2–5 Health improvements related to prescription medications are documented for a number of diseases, including cardiovascular disease and its risk factors, 6,7 diabetes, 8 HIV/AIDS, 9,10 and mental health conditions. 11,12 One study estimated that, without antihypertensive medication, average blood pressures would have been 10–13% higher, and 86,000 excess premature deaths from cardiovascular disease would have occurred in 2001.…”

Section: Introductionmentioning

confidence: 99%

Access to medications for medicare enrollees related to race/ethnicity: Results from the 2013 Medicare Current Beneficiary Survey

Taira

Shen

King

et al. 2017

Research in Social and Administrative Pharmacy

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Background Prescription medications are taken by millions of Americans to manage chronic conditions and treat acute conditions. These medications, however, are not equally accessible to all. Objective To examine medication access by race/ethnicity among Medicare beneficiaries. Methods Using the 2013 Medicare Current Beneficiary Survey (n = 10.515), this study examined access to medications related to race/ethnicity, comparing non-Hispanic blacks and Hispanics to whites. Multivariable logistic regression models were estimated, controlling for age, gender, income, education, chronic conditions, and type of drug coverage. Results Non-Hispanic blacks were less satisfied than whites with amount paid for prescriptions [OR = 0.69,95%CI(0.55,0.86)], the list of drugs covered by their plan [OR = 0.69,95%CI(0.56,0.85)], and finding a pharmacy that accepts their drug coverage [OR = 0.59,95%CI(0.48,0.72)], after adjustment. Low-income individuals were more likely to report not filling a prescription and taking less medication than prescribed. Compared to beneficiaries with excellent health, those with poor, fair, or good health were less satisfied with access. Access was also diminished for patients with depression, diabetes, and chronic obstructive pulmonary disease, emphysema or asthma. Conclusion Possible interventions for non-Hispanic blacks might include assisting them in finding the best drug plan to meeting their needs, connecting them to medication assistance programs, and discussing convenience of pharmacy with patients.

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The Washington Post/Kaiser Family Foundation Survey of Iraq and Afghanistan Active Duty Soldiers and Veterans

Cited by 34 publications

References 0 publications

Losses (and Gains) from Health Reform for Non‐Medicaid Uninsureds

Losses (and Gains) from Health Reform for Non‐Medicaid Uninsureds

Provider Perspectives on Advance Care Planning Documentation in the Electronic Health Record: The Experience of Primary Care Providers and Specialists Using Advance Health-Care Directives and Physician Orders for Life-Sustaining Treatment

Access to medications for medicare enrollees related to race/ethnicity: Results from the 2013 Medicare Current Beneficiary Survey

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