Access to care and affordability have improved following affordable care act implementation; problems remain

Health Affairs

Volumn 35, Issue 1, 2016, Pages 161-168

  Shartzer, Adele ^a   Long, Sharon K ^a   Anderson, Nathaniel ^b  

^a URBAN INSTITUTE   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; HUMAN; HUMAN EXPERIMENT; LOWEST INCOME GROUP; MEDICAID; MONITORING; AGED; ECONOMICS; FACTUAL DATABASE; FEMALE; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH CARE SURVEY; INCOME; INSURANCE; MALE; MANAGEMENT; MIDDLE AGED; MULTIVARIATE ANALYSIS; NEEDS ASSESSMENT; ORGANIZATION AND MANAGEMENT; STATISTICAL MODEL; STATISTICS AND NUMERICAL DATA; TRENDS; UNITED STATES;

ADULT; AGED; DATABASES, FACTUAL; FEMALE; HEALTH CARE REFORM; HEALTH CARE SURVEYS; HEALTH PLAN IMPLEMENTATION; HEALTH SERVICES ACCESSIBILITY; HUMANS; INCOME; INSURANCE COVERAGE; LINEAR MODELS; MALE; MEDICAID; MIDDLE AGED; MULTIVARIATE ANALYSIS; NEEDS ASSESSMENT; PATIENT PROTECTION AND AFFORDABLE CARE ACT; POLICY MAKING; UNITED STATES;

EID: 84958180004     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2015.0755     Document Type: Article

References (34)

1. Henry J. Kaiser Family Foundation. States getting a jump start on health reform's Medicaid expansion [Internet]. Menlo Park (CA): KFF; 2012 Apr 2 [cited 2015 Dec 1]. Available from: http://kff.org/health-reform/issue-brief/states-getting-a-jumpstart-on-health/
2. Karpman M, Long SK, Huntress M. Nonfederal surveys fill a gap in data on ACA. Washington (DC): Urban Institute; 2015 Mar.
3. Long SK, Karpman M, Kenney GM, Zuckerman S, Wissoker D, Shartzer A, et al. Taking stock: gains in health insurance coverage under the ACA as of March 2015. Washington (DC): Urban Institute; 2015 Apr 16.
4. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation. Health insurance coverage and the Affordable Care Act. Washington (DC): HHS; 2015 Sep 22.
5. Marken S. U.S. uninsured rate at 11.4% in second quarter. Washington (DC): Gallup-Healthways Well-Being Index; 2015 Jul 10.
6. Carman KG, Eibner C, Paddock SM. Trends in health insurance enrollment, 2013-15. Health Aff (Millwood). 2015;34(6):1044-8.
7. Smith JC, Medalia C. Health insurance coverage in the United States: 2014. Washington (DC): Census Bureau; 2015 Sep. (Current Population Reports).
8. Martinez M, Cohen RA. Health insurance coverage: early release of estimates from the National Health Interview Survey, January-June 2015. Hyattsville (MD): National Center for Health Statistics; 2015 Nov.
9. Wilper AP, Woolhandler S, Lasser KE, McCormick D, Bor DH, Himmelstein DU. Health insurance and mortality in US adults. Am J Public Health. 2009;99(12):2289-95.
10. Hadley J. Insurance coverage, medical care use, and short-term health changes following an unintentional injury or the onset of a chronic condition. JAMA. 2007;297(10): 1073-84.
11. Sommers BD, Gunja MZ, Finegold K, Musco T. Changes in self-reported insurance coverage, access to care, and health under the Affordable Care Act. JAMA. 2015;314(4):366-74.
12. Karpman M, Weiss A, Long SK. QuickTake: access to health care providers improved between September 2013 and September 2014. Washington (DC): Urban Institute; 2015 Feb 4.
13. Henry J. Kaiser Family Foundation. Experiences and attitudes of primary care providers under the first year of ACA coverage expansion. Menlo Park (CA): KFF; 2015 Jun 18.
14. HIS Inc. The complexities of physician supply and demand: projections from 2013 to 2025. Washington (DC): Association of American Medical Colleges; 2015 Mar.
15. Vernon JA, Trujilo A, Rosenbaum S, DeBuono B. Low health literacy: implications for national health policy. Washington (DC): George Washington University, School of Public Health and Health Services; 2007.
16. Sommers BD, Arnston E, Kenney GM, Epstein AM. Lessons from early Medicaid expansions under health reform: interviews with Medicaid officials. Medicare Medicaid Res Rev. 2013;3(4):E1-19.
17. Kenney GM. The impacts of the state Children's Health Insurance Program on children who enroll: findings from ten states. Health Serv Res. 2007;42(4):1520-43.
18. Duderstadt KG, Hughes DC, Soobader MJ, Newacheck PW. The impact of public insurance expansions on children's access and use of care. Pediatrics. 2006;118(4):1676-82.
19. Long SK, Masi PB. Access and affordability: an update on health reform in Massachusetts, fall 2008. Health Aff (Millwood). 2009;28(4): w578-87. DOI: 10.1377/hlthaff.28.4.w578.
20. Miller S. The effect of the Massachusetts reform on health care utilization. Inquiry. 2012-13;49(4): 317-26.
21. Finkelstein A, Taubman S, Wright B, Bernstein M, Gruber J, Newhouse JP, et al. The Oregon Health Insurance Experiment: evidence from the first year. Q J Econ. 2012;127(3): 1057-106.
22. Gold R, Bailey SR, O'Malley JP, Hoopes MJ, Cowburn S, Marino M, et al. Estimating demand for care after a Medicaid expansion: lessons from Oregon. J Ambul Care Manage. 2014;37(4):282-92.
23. 147K enrolled in federal exchange during special enrollment period. California Healthline [serial on the Internet]. 2015 May 20 [cited 2015 Dec 8]. Available from: http://www.californiahealthline.org/articles/2015/5/20/147k-enrolledin-federal-exchange-during-specialenrollment-period
24. Long SK, Kenney GM, Zuckerman S, Goin DE, Wissoker D, Blavin F, et al. The Health Reform Monitoring Survey: addressing data gaps to provide timely insights into the Affordable Care Act. Health Aff (Millwood). 2014;33(1):161-7.
25. GfK. GfK KnowledgePanel [Internet]. San Francisco (CA): GfK; 2015 [cited 2015 Dec 1]. Available from: http://www.gfk.com/us/Solutions/consumer-panels/Pages/GfKKnowledgePanel. aspx
26. Blavin F, Shartzer A, Long SK, Holahan J. An early look at changes in employer-sponsored insurance under the Affordable Care Act. Health Aff (Millwood). 2015;34(1): 170-7.
27. Urban Institute. HRMS frequently asked questions [Internet]. Washington (DC): Urban Institute; 2015 [cited 2015 Dec 1]. Available from: http://hrms.urban.org/faq.html
28. Chang L, Krosnick JA. National surveys via RDD telephone interviewing versus the Internet: comparing sample representativeness and response quality. Public Opin Q. 2009;73(4):641-78.
29. Yeager DS, Krosnick JA, Chang L-C, Javitz HS, Levendusky MS, Simpser A, et al. Comparing the accuracy of RDD telephone surveys and Internet surveys conducted with probability and non-probability samples. Public Opin Q. 2011;75(4):709-47.
30. State Health Access Data Assistance Center. Defining "family" for studies of health insurance coverage. Minneapolis (MN): SHADAC; 2012 Mar.
31. McMorrow S, Long SK, Fogel A. Primary care providers ordered fewer preventive services for women with Medicaid than for women with private coverage. Health Aff (Millwood). 2015;34(6):1001-9.
32. Shartzer A, Kenney GM. QuickTake: the forgotten health care need: gaps in dental care for insured adults remain under ACA. Washington (DC): Urban Institute; 2015 Sep 24.
33. Coughlin TA, Holahan J, Caswell K, McGrath M. An estimated $84.9 billion in uncompensated care was provided in 2013; ACA payment cuts could challenge providers. Health Aff (Millwood). 2014;33(5):807-14.
34. Zuckerman S, Skopec L, McCormack K. Reversing the Medicaid fee bump: how much could Medicaid physician fees for primary care fall in 2015? Washington (DC): Urban Institute; 2014 Dec 10.