Access and quality of care by insurance type for low-income adults before the affordable care act

American Journal of Public Health

Volumn 106, Issue 8, 2016, Pages 1409-1415

  Nguyen, Kevin H ^a   Sommers, Benjamin D ^a,b  

^a HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^b BRIGHAM AND WOMEN S HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AMERICAN; ARKANSAS; ATTENTION; HEALTH CARE QUALITY; HEALTH STATUS; HUMAN; KENTUCKY; LOWEST INCOME GROUP; MEDICAID; MEDICALLY UNINSURED; MEDICARE; MODEL; PUBLIC HEALTH; TELEPHONE INTERVIEW; TEXAS; FEMALE; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE POLICY; HEALTH INSURANCE; INSURANCE; MALE; MIDDLE AGED; POVERTY; SOCIOECONOMICS; STATISTICS AND NUMERICAL DATA; UNITED STATES; YOUNG ADULT;

ADULT; FEMALE; HEALTH EXPENDITURES; HEALTH SERVICES ACCESSIBILITY; HEALTH STATUS; HUMANS; INSURANCE COVERAGE; INSURANCE, HEALTH; MALE; MEDICAID; MEDICALLY UNINSURED; MIDDLE AGED; PATIENT PROTECTION AND AFFORDABLE CARE ACT; POVERTY; QUALITY OF HEALTH CARE; SOCIOECONOMIC FACTORS; UNITED STATES; YOUNG ADULT;

EID: 84978235831     PISSN: 00900036     EISSN: 15410048     Source Type: Journal    
DOI: 10.2105/AJPH.2016.303156     Document Type: Article

References (35)

1. Kaiser Family Foundation. Status of state action on the Medicaid expansion decision. 2015. Available at: Http://kff.org/health-reform/state-indicator/state-activityaround-expanding-medicaid-under-The-affordablecare-act. Accessed November 22, 2015.
2. Kaiser Family Foundation. Medicaid expansion, health coverage, and spending: An update for the 21 states that have not expanded eligibility. 2015. Available at: Http://files.kff.org/attachment/issue-brief-medicaidexpansion-health-coverage-and-spending-an-updatefor-The-21-states-that-have-not-expanded-eligibility. Accessed November 22, 2015.
3. Stephens J, Artiga S, Lyons B, Jankiewicz, Rousseau D. Understanding the effect of Medicaid expansion decisions in the South. JAMA. 2014;311(24): 2471.
4. Sommers BD, Baicker K, Epstein AM. Mortality and access to care among adults after state Medicaid expansions. N Engl J Med. 2012;367(11): 1025-1034.
5. Gottlieb S. Medicaid is worse than no coverage at all. Wall Street Journal. March 10, 2011. Available at: Http://online.wsj.com/article/SB10001424052748704758904576188280858303612. html. Accessed March 16, 2016.
6. Crawford M, McMahon SM. Alternative Medicaid Expansion Models: Exploring State Options. Trenton, NJ: Center for Health Care Strategies; 2014.
7. Kaiser Family Foundation. An overview of actions taken by state lawmakers regarding the Medicaid expansion. 2015. Available at: Http://kff.org/medicaid/fact-sheet/an-overview-of-actions-taken-by-statelawmakers-regarding-The-medicaid-expansion. Accessed November 22, 2015.
8. Centers for Medicare and Medicaid Services. Special terms and conditions, NewHampshire Health Protection Program Premium Assistance, Number 11-W-00298/1. 2015. Available at http://www.dhhs.state.nh.us/pap-1115-waiver/documents/pa-termsandconditions.pdf. Accessed November 22, 2015.
9. Long SK, Stockley K, Grimm E, Coyer C. National findings on access to health care and service use for non-elderly adults enrolled in Medicaid. Washington, DC: Medicaid and CHIP Payment and Access Commission; 2012. MACPAC contractor report no. 2.
10. Epstein AM, Sommers BD, Kuznetsov Y, Blendon RJ. Low-income residents in three states view Medicaid as equal to or better than private coverage, support expansion. Health Aff (Millwood). 2014;33(11): 2041-2047.
11. Ayanian JZ, Weissman JS, Schneider EC, Ginsburg JA, Zaslavsky AM. Unmet health needs of uninsured adults in the United States. JAMA. 2000;284(16): 2061-2069.
12. Christopher AS, McCormick D, Woolhandler S, Himmelstein DU, Bor DH, Wilper AP.Access to care and chronic disease outcomes among Medicaid-insured persons versus the uninsured. Am J Public Health. 2016; 106(1): 63-69.
13. Sommers BD, Gordon S, Somers S, Ingram C, Epstein AM. Medicaid on the eve of expansion: A survey of state Medicaid officials on the Affordable Care Act. Am J Law Med. 2014;40(2-3): 253-279.
14. Ku L, Jones K, Shin P, Bruen B, Hayes K. The states' next challenge-securing primary care for expanded Medicaid populations. N Engl J Med. 2011;364(6): 493-495.
15. Long SK. Physicians may need more than higher reimbursements to expand Medicaid participation: Findings from Washington State. Health Aff (Millwood). 2013;32(9): 1560-1567.
16. Decker SL. The effect of physician reimbursement levels on the primary care of Medicaid patients. Rev Econ Househ. 207;5(1): 95-112.
17. Sommers AS, Paradise J, Miller C. Physician willingness and resources to serve more Medicaid patients: Perspectives from primary care physicians. Medicare Medicaid Res Rev. 2011;1(2): E1-e18.
18. Rosenbaum S. Medicaid payments and access to care. N Engl J Med. 2014;371(25): 2345-2347.
19. Rhodes KV, Bisgaier J, Lawson CC, Soglin D, Krug S, Van Haitsma M. "Patients who can't get an appointment go to the ER": Access to specialty care for publicly insured children. Ann Emerg Med. 2013;61(4): 394-403.
20. Cook NL, Hicks LS, O'Malley AJ, Keegan T, Guadagnoli E, Landon BE. Access to specialty care and medical services in community health centers. Health Aff (Millwood). 2007;26(5): 1459-1468.
21. Magge H, Cabral HJ, Kazis LE, Sommers BD. Prevalence and predictors of underinsurance among low-income adults. J Gen Intern Med. 2013;28(9): 1136-1142.
22. McMorrow S, Kenney GM, Anderson N, et al. Trade-offs between public and private coverage for low-income children have implications for future policy debates. Health Aff (Millwood). 2014;33(8): 1367-1374.
23. Saloner B, Sabik L, Sommers BD. Pinching the poor? Medicaid cost sharing under the ACA. N Engl J Med. 2014;370(13): 1177-1180.
24. Claxton G, RaeM, Panchal N, et al. Health benefits in 2015: Stable trends in the employer market. Health Aff (Millwood). 2015;34(10): 1779-1788.
25. Taubman SL, Allen HL, Wright BJ, Baicker K, Finkelstein AN. Medicaid increases emergencydepartment use: Evidence from Oregon's Health Insurance Experiment. Science. 2014;343(6168): 263-268.
26. Cheung PT, Wiler JL, Lowe RA, Ginde AA. National study of barriers to timely primary care and emergency department utilization among Medicaid beneficiaries. Ann Emerg Med. 2012;60(1): 4-10.e2.
27. Rifkin R. Americans with government health plans most satisfied. Gallup. November 6, 2015. Available at: Http://www.gallup.com/poll/186527/americansgovernment-health-plans-satisfied.aspx. Accessed November 22, 2015.
28. Georgetown University, Health Policy Institute, Center for Children and Families. Medicaid Premium Assistance Programs: What information is available about benefit and cost-sharing wrap-around coverage? 2015. Available at: Http://ccf.georgetown.edu/ccf-resources/medicaid-premium-assistance-programs-informationavailable-benefit-cost-sharing-wrap-around-coverage. Accessed November 22, 2015.
29. Call KT, Davidson G, Davern M, Nyman R. Medicaid undercount and bias to estimates of uninsurance: New estimates and existing evidence. Health Serv Res. 2008;43(3): 901-914.
30. Davern M, Klerman JA, Baugh DK, Call KT, Greenberg GD. An examination of the Medicaid undercount in the Current Population Survey: Preliminary results from record linking. Health Serv Res. 2009;44(3): 965-987.
31. Skopec L, Musco T, Sommers BD. A potential new data source for assessing the impacts of health reform: Evaluating the Gallup-Healthways Well-Being Index. Healthc (Amst). 2014;2(2): 113-120.
32. Long SK, Kenney GM, Zuckerman S, 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): 161-167.
33. The Pew Research Center for the People and the Press. Assessing the representativeness of public opinion surveys. 2012. Available at: Http://www.people-press.org/files/legacy-pdf/Assessing%20the%20Representativeness% 20of%20Public%20Opinion%20Surveys.pdf. Accessed November 22, 2015.
34. Kaiser Family Foundation. Distribution of the nonelderly with Medicaid by family work status. 2015. Available at: Http://kff.org/medicaid/state-indicator/distribution-by-employment-status-4. Accessed November 22, 2015.
35. Gerth J. Beshear slaps Bevin, defends Medicaid expansion. The Courier-Journal. September 22, 2015. Available at: Http://www.courier-journal.com/story/politics-blog/2015/09/22/beshear-slaps-bevin/72612544. Accessed November 22, 2015.