The Affordable Care Act Appears to Have Narrowed Racial and Ethnic Disparities in Insurance Coverage and Access to Care Among Young Adults

Medical Care Research and Review

Volumn 76, Issue 1, 2019, Pages 32-55

  Lipton, Brandy J ^a   Decker, Sandra L ^a   Sommers, Benjamin D ^b  

^a AGENCY FOR HEALTHCARE RESEARCH AND QUALITY   (United States)

^b HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

access to care; Affordable Care Act; health insurance coverage; racial ethnic disparities

Indexed keywords

ADULT; ARTICLE; BLACK PERSON; CASE REPORT; CAUCASIAN; CLINICAL ARTICLE; ETHNIC GROUP; FEMALE; HUMAN; HUMAN EXPERIMENT; MALE; MEDICAID; YOUNG ADULT; ETHNOLOGY; HEALTH CARE DELIVERY; HEALTH CARE DISPARITY; HEALTH CARE POLICY; HEALTH INSURANCE; INSURANCE; LEGISLATION AND JURISPRUDENCE; STATISTICS AND NUMERICAL DATA;

ETHNIC GROUPS; HEALTH SERVICES ACCESSIBILITY; HEALTHCARE DISPARITIES; HUMANS; INSURANCE COVERAGE; INSURANCE, HEALTH; PATIENT PROTECTION AND AFFORDABLE CARE ACT; YOUNG ADULT;

EID: 85042372947     PISSN: 10775587     EISSN: 15526801     Source Type: Journal    
DOI: 10.1177/1077558717706575     Document Type: Article

References (36)

1. Y.A. Antwi A.S. Moriya K. Simon B.D. Sommers (2015). Changes in emergency department use among young adults after the Patient Protection and Affordable Care Act’s dependent coverage provision. Annals of Emergency Medicine, 65, 664-672. e2
2. Barbaresco S., Courtemanche C. J., Qi Y. (2015). Impacts of the Affordable Care Act dependent coverage provision on health-related outcomes of young adults. Journal of Health Economics, 40, 54-68
3. Berk M. L., Fang Z., (2016). Young adult insurance coverage and out-of-pocket spending: Long-term patterns. Health Affairs, 35, 734-738
4. Bernal J. L., Cummins S., Gasparrini A., (2017). Interrupted time series regression for the evaluation of public health interventions: A tutorial. International Journal of Epidemiology, 46, 348-355. doi:10.1093/ije/dyw098
5. Buchmueller T. C., Levinson Z. M., Levy H. G., Wolfe B. L., (2016). Effect of the Affordable Care Act on racial and ethnic disparities in health insurance coverage. American Journal of Public Health, 106, 1416-1421
6. Busch S. H., Golberstein E., Meara E., (2014). ACA dependent coverage provision reduced high out-of-pocket health care spending for young adults. Health Affairs, 33, 1361-1366
7. Chang M.-H., Molla M. T., Truman B. I., Athar H., Moonesinghe R., Yoon P. W., (2015). Differences in healthy life expectancy for the US population by sex, race/ethnicity and geographic region: 2008. Journal of Public Health, 37, 470-479
8. Chen J., Bustamante A. V., Tom S. E., (2015). Health care spending and utilization by race/ethnicity under the Affordable Care Act’s dependent coverage expansion. American Journal of Public Health, 105, S499-S507
9. Chen J., Vargas-Bustamante A., Mortensen K., Ortega A. N., (2016). Racial and ethnic disparities in health care access and utilization under the Affordable Care Act. Medical Care, 54, 140-146
10. Chua K.-P., Sommers B. D., (2014). Changes in health and medical spending among young adults under health reform. Journal of the American Medical Association, 311, 2437-2439
11. Cohen R., Martinez M., (2014). Health insurance coverage: Early reports of estimates from the National Health Interview Survey, January-March 2014. National Center for Health Statistics, Hyattsville, MD
12. Dowd J. B., Palermo T., Chyu L., Adam E., McDade T. W., (2014). Race/ethnic and socioeconomic differences in stress and immune function in The National Longitudinal Study of Adolescent Health. Social Science & Medicine, 115, 49-55
13. Henry J. Kaiser Family Foundation. (2003). Key facts: Race ethnicity and medical care. Washington, DC: Author
14. Henry J. Kaiser Family Foundation. (2012). Where are states today? Medicaid and state-funded coverage eligibility levels for low-income adults. Washington, DC: Author
15. Hernandez-Boussard T., Burns C., (2015). The Affordable Care Act reduces emergency department use by young adults: Evidence from three states. Health Affairs, 33, 1648-1654
16. Heyman K. M., Barnes P. M., Schiller J. S., (2009). Early release of selected estimates based on data from the 2008 National Health Interview Survey. Hyattsville, MD: National Center for Health Statistics
17. Kirby J. B., Taliaferro G., Zuvekas S. H., (2006). Explaining racial and ethnic disparities in health care. Medical Care, 44, 164-172
18. LaVeist T. A., Gaskin D., Richard P., (2011). Estimating the economic burden of racial health inequalities in the United States. International Journal of Health Services, 41, 231-238
19. Levy H., Meltzer D., (2008). The impact of health insurance on health. Annual Review of Public Health, 29, 399-409
20. McMorrow S., Kenney G. M., Long S. K., Anderson N., (2015). Uninsurance among young adults continues to decline, particularly in Medicaid expansion states. Health Affairs, 34, 616-620
21. Mulcahy A., Harris K., Finegold K., Kellermann A., Edelman L., Sommers B. D., (2013). Insurance coverage of emergency care for young adults under health reform. New England Journal of Medicine, 368, 2105-2112
22. National Center for Health Statistics. (2016). Questionnaires, datasets, and related documentation 1997 to the present. Retrieved from http://www.cdc.gov/nchs/nhis/quest_data_related_1997_forward.htm
23. O’Hara B., Brault M. W., (2013). The disparate impact of the ACA-dependent expansion across population subgroups. Health Services Research, 48, 1581-1592
24. Roger V. L., Go A. S., Lloyd-Jones D. M., Benjamin E. J., Berry J. D., Borden W. B... Turner M. B., (2012). Heart disease and stroke statistics—2012 update: A report from the American heart association. Circulation, 125(1), e2-e220
25. Scott J. W., Sommers B. D., Tsai T. C., Scott K. W., Schwartz A. L., Song Z., (2015). Dependent coverage provision led to uneven insurance gains and unchanged mortality rates in young adult trauma patients. Health Affairs, 34, 125-133
26. Shane D. M., Ayyagari P., (2014). Will health care reform reduce disparities in insurance coverage? Evidence from the dependent coverage mandate. Medical Care, 52, 528-534
27. Shane D. M., Ayyagari P., Wehby G., (2016). Continued gains in health insurance but few signs of increased utilization: An update on the ACA’s dependent coverage mandate. Medical Care Research and Review, 73, 478-492
28. Sommers B. D., Arntson E., Kenney G. M., Epstein A. M., (2013). Lessons from early Medicaid expansions under health reform: Interviews with Medicaid officials. Medicare & Medicaid Research Review, 3, E1-E19
29. Sommers B. D., Baicker K., Epstein A. M., (2012). Mortality and access to care among adults after state Medicaid expansions. New England Journal of Medicine, 367, 1025-1034
30. Sommers B. D., Buchmueller T., Decker S. L., Carey C., Kronick R., (2013). The Affordable Care Act has led to significant gains in health insurance and access to care for young adults. Health Affairs, 32, 165-174
31. Sommers B. D., Gunja M. Z., Finegold K., Musco T., (2015). Changes in self-reported insurance coverage, access to care, and health under the Affordable Care Act. Journal of the American Medical Association, 314, 366-374
32. Sommers B. D., Long S. K., Baicker K., (2014). Changes in mortality after Massachusetts health care reform: A quasi-experimental study. Annals of Internal Medicine, 160, 585-593
33. Thomas M., James C., (2009). The role of health coverage for communities of color. Washington, DC: Henry J. Kaiser Family Foundation
34. University of Minnesota. (2015). Integrated Health Interview Series (Version 6.11) [Computer software]. Minneapolis, MN: Author
35. Wallace J., Sommers B. D., (2015). Effect of dependent coverage expansion of the Affordable Care Act on health and access to care for young adults. JAMA Pediatrics, 169, 495-497
36. Wherry L. R., Miller S., (2016). Early coverage, access, utilization, and health effects associated with the Affordable Care Act Medicaid expansions: A quasi-experimental study. Annals of Internal Medicine, 164, 795-803