Three-year impacts of the affordable care act: Improved medical care and health among low-income adults

Health Affairs

Volumn 36, Issue 6, 2017, Pages 1119-1128

  Sommers, Benjamin D ^a   Maylone, Bethany ^b   Blendon, Robert J ^b   John Orav, E ^c   Epstein, Arnold M ^b  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

^b HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^c HARVARD MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARKANSAS; BLOOD GLUCOSE MONITORING; CONTROL GROUP; CONTROLLED STUDY; FEMALE; HEALTH CARE UTILIZATION; HUMAN; HUMAN EXPERIMENT; INSTRUMENTAL VARIABLE ANALYSIS; KENTUCKY; LOWEST INCOME GROUP; MALE; MEDICAID; MEDICAL CARE; MEDICALLY UNINSURED; MEDICATION COMPLIANCE; MODEL; TEXAS; HEALTH CARE COST; HEALTH CARE POLICY; INSURANCE; MIDDLE AGED; POVERTY; PREVENTIVE HEALTH SERVICE; SELF EVALUATION; STATISTICS AND NUMERICAL DATA; TRENDS; UNITED STATES; UTILIZATION;

ADULT; DIAGNOSTIC SELF EVALUATION; FEMALE; HEALTH EXPENDITURES; HUMANS; INSURANCE COVERAGE; MALE; MEDICAID; MEDICALLY UNINSURED; MIDDLE AGED; PATIENT PROTECTION AND AFFORDABLE CARE ACT; POVERTY; PREVENTIVE HEALTH SERVICES; UNITED STATES;

EID: 85020251476     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2017.0293     Document Type: Article

References (40)

1. Cohen RA, Martinez ME, Zammitti EP. Health insurance coverage: early release of estimates from the National Health Interview Survey, 2015. Hyattsville (MD): National Center for Health Statistics; 2016.
2. White House Council of Economic Advisers. The economic record of the Obama administration. Reforming the health care system. Washington (DC): The Council; 2016.
3. Frean M, Gruber J, Sommers BD. Premium subsidies, the mandate, and Medicaid expansion: coverage effects of the Affordable Care Act. J Health Econ. 2017;53:72-86.
4. Fox M. Medicaid expansion becomes trendy with death of GOP health bill. NBC News [serial on the Internet]. 2017 Mar 31 [cited 2017 Apr 28]. Available from: http://www.nbcnews.com/health/health-care/medicaid-expansion-becomestrendy-death-gop-health-billn740846
5. Collins SR, Gunja M, Doty MM, Beutel S. Americans' experiences with ACA Marketplace and Medicaid coverage: access to care and satisfaction. New York (NY): Commonwealth Fund; 2016.
6. 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.
7. Wherry LR, Miller S. Early coverage, access, utilization, and health effects associated with the Affordable Care Act Medicaid expansions: a quasiexperimental study. Ann Intern Med. 2016;164(12):795-803.
8. Cole MB, Galárraga O, Wilson IB, Wright B, Trivedi AN. At federally funded health centers, Medicaid expansion was associated with improved quality of care. Health Aff(Millwood). 2017;36(1):40-8.
9. Sommers BD, Blendon RJ, Orav EJ, Epstein AM. Changes in utilization and health among low-income adults after Medicaid expansion or expanded private insurance. JAMA Intern Med. 2016;176(10):1501-9.
10. Simon K, Soni A, Cawley J. The impact of health insurance on preventive care and health behaviors: evidence from the first two years of the ACA Medicaid expansions. J Policy Anal Manage. 2017;36(2):390-417.
11. Miller S, Wherry LR. Health and access to care during the first 2 years of the ACA Medicaid expansions. N Engl J Med. 2017;376(10):947-56.
12. Sommers BD, Kenney GM, Epstein AM. New evidence on the Affordable Care Act: coverage impacts of early Medicaid expansions. Health Aff(Millwood). 2014;33(1):78-87.
13. Karaca-Mandic P, Jena AB, Ross JS. Health and health care use among individuals at risk to lose health insurance with repeal of the Affordable Care Act. JAMA Intern Med. 2017; 177(4):590-3.
14. Dieleman JL, Baral R, Birger M, Bui AL, Bulchis A, Chapin A, et al. US spending on personal health care and public health, 1996-2013. JAMA. 2016;316(24):2627-46.
15. Benjamin RM. Multiple chronic conditions: a public health challenge. Public Health Rep. 2010; 125(5):626-7.
16. Henry J. Kaiser Family Foundation. Where are states today? Medicaid and state-funded coverage eligibility levels for low-income adults. Washington (DC): KFF; 2012.
17. McClellan M, McNeil BJ, Newhouse JP. Does more intensive treatment of acute myocardial infarction in the elderly reduce mortality? Analysis using instrumental variables. JAMA. 1994;272(11):859-66.
18. Baicker K, Taubman SL, Allen HL, Bernstein M, Gruber JH, Newhouse JP, et al. The Oregon experiment- effects of Medicaid on clinical outcomes. N Engl J Med. 2013; 368(18):1713-22.
19. Pauly MV, Pagán JA. Spillovers and vulnerability: the case of community uninsurance. Health Aff(Millwood). 2007;26(5):1304-14.
20. Sabik LM. The effect of community uninsurance rates on access to health care. Health Serv Res. 2012; 47(3 Pt 1):897-918.
21. 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):113-20.
22. 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.
23. Finegold K, Gunja MZ. Survey data on health insurance coverage for 2013 and 2014. Washington (DC):Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation; 2014.
24. Pew Research Center. Assessing the representativeness of public opinion surveys. Washington (DC): The Center; 2012.
25. Davern M. Nonresponse rates are a problematic indicator of non-response bias in survey research. Health Serv Res. 2013;48(3):905-12.
26. Keeter S, Kennedy C, Dimock M, Best J, Craighill P. Gauging the impact of growing nonresponse on estimates from a national RDD telephone survey. Public Opin Q. 2006; 70:759-79.
27. Miilunpalo S, Vuori I, Oja P, Pasanen M, Urponen H. Self-rated health status as a health measure: the predictive value of self-reported health status on the use of physician services and on mortality in the working- age population. J Clin Epidemiol. 1997;50(5):517-28.
28. Kroenke K, Spitzer RL, Williams JB. The Patient Health Questionnaire-2:validity of a two-item depression screener. Med Care. 2003;41(11):1284-92.
29. Angrist J, Pischke J. Mostly harmless econometrics. Princeton (NJ):Princeton University Press; 2009.
30. 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.
31. Cameron AC, Miller DL. A practitioner's guide to cluster-robust inference. J Hum Resour. 2015; 50(2):317-73.
32. Mazumder B, Miller S. The effects of the Massachusetts health reform on household financial distress. Am Econ J Econ Policy. 2016;8(3):284-313.
33. Mulcahy AW, Eibner C, Finegold K. Gaining coverage through Medicaid or private insurance increased prescription use and lowered out-ofpocket spending. Health Aff(Millwood). 2016;35(9):1725-33.
34. Ghosh A, Simon K, Sommers BD. The effect of state Medicaid expansions on prescription drug use: evidence from the Affordable Care Act. (NBER Working Paper No. 23044). Cambridge (MA): National Bureau of Economic Research; 2017.
35. Kaufman HW, Chen Z, Fonseca VA, McPhaul MJ. Surge in newly identified diabetes among Medicaid patients in 2014 within Medicaid expansion states under the affordable care act. Diabetes Care. 2015; 38(5):833-7.
36. Sommers BD, Baicker K, Epstein AM. Mortality and access to care among adults after state Medicaid expansions. N Engl J Med. 2012; 367(11):1025-34.
37. Courtemanche C, Marton J, Ukert B, Yelowitz A, Zapata D. Early effects of the Affordable Care Act on health care access, risky health behaviors, and self-assessed health. (NBER Working Paper No. 23269). Cambridge (MA): National Bureau of Economic Research; 2017.
38. Torres H, Poorman E, Tadepalli U, Schoettler C, Fung CH, Mushero N, et al. Coverage and access for Americans with chronic disease under the Affordable Care Act: a quasiexperimental study. Ann Intern Med. 2017;166(7):472-9.
39. Nguyen KH, Sommers BD. Access and quality of care by insurance type for low-income adults before the Affordable Care Act. Am J Public Health. 2016;106(8):1409-15.
40. Sommers BD, Blendon RJ, Orav EJ. Both the "private option" and traditional Medicaid expansions improved access to care for low-income adults. Health Aff(Millwood). 2016;35(1):96-105.