Racial/Ethnic Differential Effects of Medicaid Expansion on Health Care Access

Health Services Research

Volumn 53, Issue 5, 2018, Pages 3640-3656

  Yue, Dahai ^a   Rasmussen, Petra W ^a   Ponce, Ninez A ^b  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

health care access; Medicaid expansion; racial ethnic disparities

Indexed keywords

INFLUENZA VACCINE;

ADULT; AFRICAN AMERICAN; AGE; ARTICLE; CONTROLLED STUDY; ETHNIC DIFFERENCE; FAMILY SIZE; FEMALE; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH INSURANCE; HISPANIC; HOUSEHOLD INCOME; HUMAN; INFLUENZA; LOWEST INCOME GROUP; MAJOR CLINICAL STUDY; MALE; MEDICAID; PHYSICIAN; PRIMARY MEDICAL CARE; QUASI EXPERIMENTAL STUDY; RACE DIFFERENCE; STATISTICAL ANALYSIS; BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM; ETHNIC GROUP; HEALTH CARE DELIVERY; INSURANCE; MIDDLE AGED; POVERTY; PRIMARY HEALTH CARE; STATISTICS AND NUMERICAL DATA; UNITED STATES;

ADULT; BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM; ETHNIC GROUPS; FEMALE; HEALTH SERVICES ACCESSIBILITY; HUMANS; INFLUENZA VACCINES; INSURANCE COVERAGE; MALE; MEDICAID; MIDDLE AGED; POVERTY; PRIMARY HEALTH CARE; UNITED STATES;

EID: 85053858229     PISSN: 00179124     EISSN: 14756773     Source Type: Journal    
DOI: 10.1111/1475-6773.12834     Document Type: Article

References (29)

1. Alcala, H. E., J. Chen, B. A. Langellier, D. H. Roby, and A. N. Ortega. 2017. “Impact of the Affordable Care Act on Health Care Access and Utilization among Latinos.” Journal of the American Board of Family Medicine 30 (1): 52–62
2. Almario, C. V., F. P. May, A. E. Maxwell, W. Ren, N. A. Ponce, and B. M. Spiegel. 2016. “Persistent Racial and Ethnic Disparities in Flu Vaccination Coverage: Results from a Population-Based Study.” American Journal of Infection Control 44 (9): 1004–9
3. Angier, H., M. Hoopes, M. Marino, N. Huguet, E. A. Jacobs, J. Heintzman, H. Holderness, C. M. Hood, and J. E. DeVoe. 2017. “Uninsured Primary Care Visit Disparities under the Affordable Care Act.” Annals of Family Medicine 15 (5): 434–42
4. Association of American Medical College. 2013. “2013 State Physician Workforce Data Book” [accessed on July 25, 2013]. Available at https://members.aamc.org/eweb/upload/State%20Physician%20Workforce%20Data%20Book%202013%20(PDF).pdf
5. Association of American Medical College. 2015. “2015 State Physician Workforce Data Book” [accessed on July 25, 2015]. Available at https://members.aamc.org/eweb/upload/2015StateDataBook%20(revised).pdf
6. Benitez, J. A., L. Creel, and J. Jennings. 2016. “Kentucky's Medicaid Expansion Showing Early Promise on Coverage and Access to Care.” Health Affairs 35 (3): 528–34
7. Buchmueller, T. C., Z. M. Levinson, H. G. Levy, and B. L. Wolfe. 2016. “Effect of the Affordable Care Act on Racial and Ethnic Disparities in Health Insurance Coverage.” American Journal of Public Health 106 (8): 1416–21
8. Bureau of Labor Statistics. 2013. “Unemployment Rates for States, 2013 Annual Averages” [accessed on July 25, 2013]. Available at http://www.bls.gov/lau/lastrk13.htm
9. Bureau of Labor Statistics. 2015. “Unemployment Rates for States, 2015 Annual Averages” [accessed on July 25, 2015]. Available at http://www.bls.gov/lau/lastrk15.htm
10. Centers for Disease Control and Prevention (CDC). 2017. Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, [accessed on Novemeber 13, 2017]
11. Chen, J., A. Vargas-Bustamante, K. Mortensen, and A. N. Ortega. 2016. “Racial and Ethnic Disparities in Health Care Access and Utilization under the Affordable Care Act.” Medical Care 54 (2): 140–6
12. Clark, C. R., M. J. Ommerborn, B. A. Coull, Q. Pham do, and J. S. Haas. 2016. “Income Inequities and Medicaid Expansion Are Related to Racial and Ethnic Disparities in Delayed or Forgone Care Due to Cost.” Medical Care 54 (6): 555–61
13. Clogg, C. C., E. Petkova, and A. Haritou. 1995. “Statistical Methods for Comparing Regression Coefficients between Models.” American Journal of Sociology 100 (5): 1261–93
14. Courtemanche, C., J. Marton, B. Ukert, A. Yelowitz, and D. Zapata. 2017. “Early Impacts of the Affordable Care Act on Health Insurance Coverage in Medicaid Expansion and Non-Expansion States.” Journal of Policy Analysis and Management 36 (1): 178–210
15. Garcia Mosqueira, A., L. M. Hua, and B. D. Sommers. 2015. “Racial Differences in Awareness of the Affordable Care Act and Application Assistance among Low-Income Adults in Three Southern States.” INQUIRY: The Journal of Health Care Organization, Provision, and Financing 52: 0046958015609607
16. Gonzales, S., and B. D. Sommers. 2018. “Intra-Ethnic Coverage Disparities among Latinos and the Effects of Health Reform.” Health Services Ressearch 53 (3): 1373–86. https://doi.org/10.1111/1475-6773.12733
17. Heintzman, J., S. R. Bailey, J. DeVoe, S. Cowburn, T. Kapka, T. V. Duong, and M. Marino. 2017. “In Low-Income Latino Patients, Post-Affordable Care Act Insurance Disparities May Be Reduced Even More than Broader National Estimates: Evidence from Oregon.” Journal of Racial and Ethnic Health Disparities 4 (3): 329–36
18. Kominski, G. F. 2013. Changing the U.S. Health Care System: Key Issues in Health Services Policy and Management. San Francisco, CA: Josey-Bass
19. Manuel, J. I. 2018. “Racial/Ethnic and Gender Disparities in Health Care Use and Access.” Health Services Research 53 (3): 1407–29. https://doi.org/10.1111/1475-6773.12705
20. Miller, S., and L. R. Wherry. 2017. “Health and Access to Care during the First 2 Years of the ACA Medicaid Expansions.” New England Journal of Medicine 376 (10): 947–56
21. Ortega, A. N., H. P. Rodriguez, and A. Vargas Bustamante. 2015. “Policy Dilemmas in Latino Health Care and Implementation of the Affordable Care Act.” Annual Review of Public Health 36: 525–44
22. Pande, A. H., D. Ross-Degnan, A. M. Zaslavsky, and J. A. Salomon. 2011. “Effects of Healthcare Reforms on Coverage, Access, and Disparities: Quasi-experimental Analysis of Evidence from Massachusetts.” American Journal of Preventive Medicine 41 (1): 1–8
23. Simon, K., A. Soni, and J. Cawley. 2017. “The Impact of Health Insurance on Preventive Care and Health Behaviors: Evidence from the First Two Years of the ACA Medicaid Expansions.” Journal of Policy Analysis and Management 36 (2): 390–417
24. Sommers, B. D., R. J. Blendon, and E. J. Orav. 2016a. “Both the ‘Private Option’ and Traditional Medicaid Expansions Improved Access to Care for Low-Income Adults.” Health Affairs 35 (1): 96–105
25. Sommers, B. D., M. Z. Gunja, K. Finegold, and T. Musco. 2015. “Changes in Self-reported Insurance Coverage, Access to Care, and Health under the Affordable Care Act.” Journal of the American Medical Association 314 (4): 366–74
26. Sommers, B. D., R. J. Blendon, E. J. Orav, and A. M. Epstein. 2016b. “Changes in Utilization and Health among Low-Income Adults after Medicaid Expansion or Expanded Private Insurance.” JAMA Internal Medicine 176 (10): 1501–9
27. Soni, A., M. Hendryx, and K. Simon. 2017. “Medicaid Expansion under the Affordable Care Act and Insurance Coverage in Rural and Urban Areas.” Journal of Rural Health 33 (2): 217–26
28. Wehby, G. L., and W. Lyu. 2018. “The Impact of the ACA Medicaid Expansions on Health Insurance Coverage through 2015 and Coverage Disparities by Age, Race/Ethnicity, and Gender.” Health Services Research 53 (2): 1248–71. https://doi.org/10.1111/1475-6773.12711
29. Wherry, L. R., and S. Miller. 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 (12): 795–803