Reasons Why Individuals Remain Uninsured Under the Affordable Care Act: Experiences of Patients at a Student-Run Free Clinic in Michigan, a Medicaid Expansion State

Journal of Community Health

Volumn 41, Issue 2, 2016, Pages 417-423

  Desmond, Brian S ^a   Laux, Molly A ^a   Levin, Carolyn C ^a   Huang, Jiaxin ^a   Williams, Brent C ^b  

^a UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

^b UNIVERSITY OF MICHIGAN HEALTH SYSTEM   (United States)

Author keywords

Adults; Cost of healthcare; Disparities; Eligibility; Health insurance; Health insurance exchanges; Healthcare reform; Medicaid; Michigan; State health plan; Tax credits

Indexed keywords

ADULT; AGED; FEMALE; HEALTH CARE POLICY; HEALTH INSURANCE; HUMAN; INSURANCE; LEGISLATION AND JURISPRUDENCE; MALE; MEDICAID; MEDICALLY UNINSURED; MICHIGAN; MIDDLE AGED; OUTPATIENT DEPARTMENT; QUESTIONNAIRE; STUDENT-RUN CLINIC; UNITED STATES; YOUNG ADULT;

ADULT; AGED; AMBULATORY CARE FACILITIES; FEMALE; HUMANS; INSURANCE COVERAGE; INSURANCE, HEALTH; MALE; MEDICAID; MEDICALLY UNINSURED; MICHIGAN; MIDDLE AGED; PATIENT PROTECTION AND AFFORDABLE CARE ACT; STUDENT RUN CLINIC; SURVEYS AND QUESTIONNAIRES; UNITED STATES; YOUNG ADULT;

EID: 84959457606     PISSN: 00945145     EISSN: 15733610     Source Type: Journal    
DOI: 10.1007/s10900-015-0112-3     Document Type: Article

References (14)

1. Henry, J. (2013). Kaiser Family Foundation. Summary of the Affordable Care Act. CA, USA. Fact sheet [#8061-02]. http://kff.org/health-reform/fact-sheet/summary-of-the-affordable-care-act/.
2. Institute of Medicine. (2009). America’s uninsured crisis: consequences for health and health care. Washington, DC. Report brief. http://iom.nationalacademies.org/Reports/2009/Americas-Uninsured-Crisis-Consequences-for-Health-and-Health-Care.aspx.
3. Cohen, R. A., & Martinez, M. E. (2015). Health insurance coverage: Early release of estimates from National Health Interview Survey, 2014. National Center for Health Statistics.
4. Witters, D. (2015). In U.S., uninsured rates continue to drop in most states. Washington, D.C.: Gallup. http://www.gallup.com/poll/184514/uninsured-rates-continue-drop-states.aspx.
5. Robert Wood Johnson Foundation. (2015, June). Understanding the uninsured now. Conducted by PerryUndem Research/Communication. http://www.rwjf.org/en/library/research/2015/06/understanding-the-uninsured-now.html.
6. Kamimura, A., et al. (2015). Why uninsured free clinic patients don’t apply for Affordable Care Act Health Insurance in a Non-expanding Medicaid State. Journal of Community Health. doi:10.1007/s10900-015-0076-3.
7. Ayanian, J. Z. (2013). Michigan’s approach to medicaid expansion and reform. New England Journal of Medicine,369(19), 1773–1775.
8. Henry, J. (2014, January). Kaiser Family Foundation. How will the uninsured in Michigan fare under the Affordable Care Act? CA, USA. Fact sheet. https://kaiserfamilyfoundation.files.wordpress.com/2014/01/8531-mi.pdf.
9. Michigan Department of Health and Human Services. (2015). Adult benefits waiver. Lansing, MI. http://www.michigan.gov/mdhhs/0,5885,7-339-71547_2943_4853-66333--,00.html.
10. Centers for Medicare and Medicaid Services. (2015, June). Medicaid and CHIP: April 2015 monthly applications, eligibility determinations, and enrollment report. Baltimore, MD: U.S. Department of Health and Human Services. http://www.medicaid.gov/medicaid-chip-program-information/program-information/downloads/april-2015-enrollment-report.pdf.
11. Angelotti, S. (2013, March). Fiscal analysis of Governor Snyder’s Medicaid expansion proposal. MI, USA. Issue paper. http://www.senate.michigan.gov/sfa/Publications/Issues/MedicaidExpansion/MedicaidExpansionProposal.pdf.
12. Henry J. (2013, October). Kaiser Family Foundation. Medicaid eligibility for adults as of January 1, 2014. CA, USA. Fact sheet. http://kff.org/medicaid/fact-sheet/medicaid-eligibility-for-adults-as-of-january-1-2014/#footnote-EN8497.
13. Angier, H., et al. (2015). An early look at rates of uninsured safety net clinic visits after the Affordable Care Act. Annals of Family Medicine,13(1), 10–16.
14. Viera, A. J., & Garrett, J. M. (2005). Understanding interobserver agreement: The kappa statistic. Family Medicine,37(5), 360–363.