Affordable Care Act Insurance Coverage Expansion Associated with Fewer Delays in Seeking Care for Acute Appendicitis

This article examines how the Affordable Care Act Medicaid expansions affected the sources of health insurance coverage of undergraduate students in the United States. We show that the Affordable Care Act expansions increased the Medicaid coverage of undergraduate students by 5 to 7 percentage points more in expansion states than in nonexpansion states, resulting in 17% of undergraduate students in expansion states being covered by Medicaid postexpansion (up from 9% prior to the expansion). In contrast, the growth in employer and private direct coverage was 1 to 2 percentage points lower postexpansion for students in expansion states compared with nonexpansion states. Our findings demonstrate that policy efforts to expand Medicaid eligibility have been successful in increasing the Medicaid coverage rates for undergraduate students in the United States, but there is evidence of some crowd out after the expansions—that is, some students substituted their private and employer-sponsored coverage for Medicaid.

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Disparities in insurance coverage among hospitalized adult congenital heart disease patients before and after the Affordable Care Act

Birth Defects Research ◽

10.1002/bdr2.1878 ◽

2021 ◽

Author(s):

Katherine B. Salciccioli ◽

Jason L. Salemi ◽

Christopher R. Broda ◽

Keila N. Lopez

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Affordable Care Act ◽

Congenital Heart ◽

Adult Congenital Heart Disease ◽

Insurance Coverage ◽

Before And After ◽

Adult Congenital ◽

The Affordable Care Act

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Impact of the Affordable Care Act’s Dependent Coverage Expansion on the Health Care and Health Status of Young Adults: What Do We Know So Far?

Medical Care Research and Review ◽

10.1177/1077558716682171 ◽

2017 ◽

Vol 75 (2) ◽

pp. 131-152 ◽

Cited By ~ 11

Author(s):

Joshua Breslau ◽

Bradley D. Stein ◽

Bing Han ◽

Shoshanna Shelton ◽

Hao Yu

Keyword(s):

Public Health ◽

Health Status ◽

Insurance Coverage ◽

Health Impact ◽

Care Utilization ◽

The Public ◽

Behavioral Health Treatment ◽

Coverage Expansion ◽

Dependent Coverage ◽

The Impact

The dependent coverage expansion (DCE), a component of the Affordable Care Act, required private health insurance policies that cover dependents to offer coverage for policyholders’ children through age 25. This review summarizes peer-reviewed research on the impact of the DCE on the chain of consequences through which it could affect public health. Specifically, we examine the impact of the DCE on insurance coverage, access to care, utilization of care, and health status. All studies find that the DCE increased insurance coverage, but evidence regarding downstream impacts is inconsistent. There is evidence that the DCE reduced high out-of-pocket expenditures and frequent emergency room visits and increased behavioral health treatment. Evidence regarding the impact of the DCE on health is sparse but suggestive of positive impacts on self-rated health and health behavior. Inferences regarding the public health impact of the DCE await studies with greater methodological diversity and longer follow-up periods.

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