Effects of the Medicaid expansion under the Affordable Care Act on health insurance coverage, health care access, and use for people with disabilities

2021 ◽  
pp. 101180
Author(s):  
Xiaobei Dong ◽  
Tim Gindling ◽  
Nancy A. Miller
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Affordable Care Act ◽  
Health Care Access ◽  
Insurance Coverage ◽  
People With Disabilities ◽  
Health Insurance Coverage ◽  
Medicaid Expansion ◽  
Care Access ◽  
The Affordable Care Act

scholarly journals Correlates of health care access problems among reproductive age women in Ethiopia: In-depth analysis of 2016 Ethiopia demographic Health Survey

2019 ◽  
Author(s):  
koku Tamirat ◽  
Zemenu Tadesse Tessema ◽  
Fentahun Bikale Kebede
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Access ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Reproductive Age ◽  
Rural Residence ◽  
Factors Associated ◽  
Care Access ◽  
Reproductive Age Women

Abstract Background Health care access is timely use of personal health services to achieve best health outcomes. Difficulties to access health care among reproductive age women may led to different negative health outcomes to death and disability. Therefore, this study aimed to assess factors associated with problems of accessing health care among reproductive age women in Ethiopia.Method This study was based on 2016 Ethiopia Demography and Health Survey. Individual women record (IR) file was used to extract the dataset and 15, 683 women were included in the final analysis. A composite variable of problem of accessing health care were created from four questions used to rate problem of accessing health care among reproductive age women. Generalized estimating equation (GEE) model was fitted to identify factors associated with problem of accessing health care. Crude and Adjusted odds ratio with a 95%CI computed to assess the strength of association between independent and outcome variables.Result In this study the magnitude of problem in accessing health care among reproductive age women was 69.9% of with 95%CI (69.3 to 70.7). Rural residence (AOR= 2.13, 95%CI: 1.79 to 2.53), women age 35-49 years (AOR= 1.24, 95%CI: 1.09 to 1.40), married/live together (AOR= 0.72, 95%CI: 0.64 to 0.81), had health insurance coverage (AOR=0.83, 95%CI: 0.70 to 0.95), wealth index [middle (AOR=0.75,95%CI: 0.66 to 0.85) and rich (AOR=0.47,95%CI:0.42 to 0.53)], primary education(AOR= 0.80, 95%CI: 0.73 to 0.88), secondary education (AOR= 0.57, 95%CI:0.50 to 0.64) and diploma and higher education (AOR= 0.43, 95%CI: 0.37 to 0.50) were factors associated with problem of health care access among reproductive age women.Conclusion Despite better coverage of health system, problems of health care access among reproductive age women were considerably high. Health insurance coverage, middle and rich wealth, primary and above educational level were negatively associated with problems health care access. In contrast, older age and rural residence were positively associated with problems of health care access among reproductive age women. This suggests that further interventions are necessary to increase universal reproductive health care access for the achievement of sustainable development goals.

scholarly journals Health insurance coverage and health care access in Moldova

2011 ◽  
Vol 27 (3) ◽  
pp. 204-212 ◽  
Author(s):  
E. Richardson ◽  
B. Roberts ◽  
V. Sava ◽  
R. Menon ◽  
M. McKee
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Access ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Care Access

scholarly journals Effects of the Affordable Care Act on Health Care Access and Self-Assessed Health After 3 Years

2018 ◽  
Vol 55 ◽  
pp. 004695801879636 ◽  
Author(s):  
Charles Courtemanche ◽  
James Marton ◽  
Benjamin Ukert ◽  
Aaron Yelowitz ◽  
Daniela Zapata
Keyword(s):  
Affordable Care Act ◽  
Health Care Access ◽  
Insurance Coverage ◽  
Local Area ◽  
Health Insurance Coverage ◽  
Behavioral Risk ◽  
The Third ◽  
Care Access ◽  
The Affordable Care Act ◽  
Using Data

Using data from the Behavioral Risk Factor Surveillance System, we examine the causal impact of the Affordable Care Act on health-related outcomes after 3 years. We estimate difference-in-difference-in-differences models that exploit variation in treatment intensity from 2 sources: (1) local area prereform uninsured rates from 2013 and (2) state participation in the Medicaid expansion. Including the third postreform year leads to 2 important insights. First, gains in health insurance coverage and access to care from the policy continued to increase in the third year. Second, an improvement in the probability of reporting excellent health emerged in the third year, with the effect being largely driven by the non-Medicaid expansions components of the policy.

Health Care Access Among Mexican Americans With Different Health Insurance Coverage

1996 ◽  
Vol 7 (2) ◽  
pp. 112-121 ◽  
Author(s):  
Robert P. Treviño ◽  
Fernando M. Treviño ◽  
Rolando Medina ◽  
Gilbert Ramirez ◽  
Robert R. Ramirez
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Access ◽  
Mexican Americans ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Care Access

scholarly journals The Affordable Care Act and Changes in Women’s Health Insurance Coverage Before, During, and After Pregnancy in California

2020 ◽  
Vol 136 (1) ◽  
pp. 70-78
Author(s):  
Kristen S. Marchi ◽  
Melanie S. Dove ◽  
Katherine E. Heck ◽  
Chuncui Fan
Keyword(s):  
Health Insurance ◽  
Affordable Care Act ◽  
Health Care Access ◽  
Infant Health ◽  
Insurance Coverage ◽  
Health Assessment ◽  
Health Insurance Coverage ◽  
Birth Certificates ◽  
Pregnancy And Postpartum ◽  
The Affordable Care Act

Objectives Having health insurance is associated with improvements in health care access and use, health behaviors, and outcomes. We examined changes in health insurance coverage for California women before, during, and after pregnancy after implementation of the Affordable Care Act (ACA). Methods We used data from the 2011-2017 California Maternal and Infant Health Assessment, an annual representative survey of women sampled from birth certificates (n = 47 487). We examined health insurance coverage at baseline before ACA implementation (2011-2013) and in each survey year from 2014 to 2017 for 3 periods (before, during, and after pregnancy). We calculated prevalence ratios to evaluate changes in health insurance coverage, adjusting for changes in demographic characteristics. Few women were uninsured during pregnancy before implementation of the ACA; therefore, analyses focused on health insurance before pregnancy and postpartum. Results Before ACA implementation, 24.4% of women reported being uninsured before pregnancy, which decreased to 10.1% in 2017. About 17% of women reported being uninsured postpartum before ACA implementation, and this percentage decreased to 7.5% in 2017. ACA implementation resulted in a >50% adjusted decline in the likelihood of being uninsured before pregnancy or postpartum, primarily because of substantial increases in Medicaid coverage. Conclusions ACA implementation resulted in a dramatic reduction in mothers in California who were uninsured before and after pregnancy. Medicaid expansion played a major role in this improvement.

scholarly journals Disparities in Insurance Coverage, Health Services Use, and Access Following Implementation of the Affordable Care Act: A Comparison of Disabled and Nondisabled Working-Age Adults

2017 ◽  
Vol 54 ◽  
pp. 004695801773403 ◽  
Author(s):  
Jae Kennedy ◽  
Elizabeth Geneva Wood ◽  
Lex Frieden
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Health Care Access ◽  
Insurance Coverage ◽  
Adults With Disabilities ◽  
Full Implementation ◽  
Care Access ◽  
Before And After ◽  
Working Age ◽  
The Affordable Care Act

The objective of this study was to assess trends in health insurance coverage, health service utilization, and health care access among working-age adults with and without disabilities before and after full implementation of the Affordable Care Act (ACA), and to identify current disability-based disparities following full implementation of the ACA. The ACA was expected to have a disproportionate impact on working-age adults with disabilities, because of their high health care usage as well as their previously limited insurance options. However, most published research on this population does not systematically look at effects before and after full implementation of the ACA. As the US Congress considers new health policy reforms, current and accurate data on this vulnerable population are essential. Weighted estimates, trend analyses and analytic models were conducted using the 1998-2016 National Health Interview Surveys (NHIS) and the 2014 Medical Expenditure Panel Survey. Compared with working-age adults without disabilities, those with disabilities are less likely to work, more likely to earn below the federal poverty level, and more likely to use public insurance. Average health costs for this population are 3 to 7 times higher, and access problems are far more common. Repeal of key features of the ACA, like Medicaid expansion and marketplace subsidies, would likely diminish health care access for working-age adults with disabilities.

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