The impact of the Affordable Care Act Medicaid expansions on agricultural workers' health insurance coverage, medical care utilization, and labor supply

2021 ◽  
Author(s):  
Amy M. G. Kandilov ◽  
Ivan T. Kandilov
Keyword(s):  
Health Insurance ◽  
Labor Supply ◽  
Medical Care ◽  
Affordable Care Act ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Care Utilization ◽  
Medical Care Utilization ◽  
The Impact ◽  
Medicaid Expansions

Health Insurance Coverage and Medical Care Utilization Among Working-Age Americans with Visual Impairment

1994 ◽  
Vol 1 (1) ◽  
pp. 41-52 ◽  
Author(s):  
Yen-Pin Chiang ◽  
Jonathan Javitt ◽  
Sara Metrick
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
Visual Impairment ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Care Utilization ◽  
Medical Care Utilization ◽  
Working Age

The Impact of the Affordable Care Act Medicaid Expansions on the Sources of Health Insurance Coverage of Undergraduate Students in the United States

2021 ◽  
pp. 107755872110158
Author(s):  
Priyanka Anand ◽  
Dora Gicheva
Keyword(s):  
United States ◽  
Health Insurance ◽  
Undergraduate Students ◽  
Affordable Care Act ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
The United States ◽  
Percentage Points ◽  
The Affordable Care Act ◽  
Medicaid Expansions

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.

scholarly journals The Impact of the Affordable Care Act on Health Insurance Coverage for Asian Americans

2017 ◽  
Vol 107 (1) ◽  
pp. e12-e13 ◽  
Author(s):  
Nadia Islam ◽  
Stella S. Yi ◽  
Chau Trinh-Shevrin
Keyword(s):  
Health Insurance ◽  
Asian Americans ◽  
Affordable Care Act ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
The Affordable Care Act ◽  
The Impact

scholarly journals Effects of ACA Medicaid Expansions on Health Insurance Coverage and Labor Supply

2017 ◽  
Vol 36 (3) ◽  
pp. 608-642 ◽  
Author(s):  
Robert Kaestner ◽  
Bowen Garrett ◽  
Jiajia Chen ◽  
Anuj Gangopadhyaya ◽  
Caitlyn Fleming
Keyword(s):  
Health Insurance ◽  
Labor Supply ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Medicaid Expansions

scholarly journals Exploring the Impact of Health Insurance on Health Care Utilization and Outcome Using Electronic Medical Record Data

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Yuan Xu ◽  
Mingshan Lu ◽  
Ning Li ◽  
Elijah Dixon ◽  
Robert Myers ◽  
...  
Keyword(s):  
Health Insurance ◽  
Disease Severity ◽  
Odds Ratio ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Medication Cost ◽  
Care Utilization ◽  
Total Hospital Cost ◽  
Total Hospital ◽  
The Impact

ABSTRACTObjectiveWith tremendous potential for research and policy use, the development of Electronic Medical Record (EMR) is unprecedentedly growing in China. The rich clinical and financial data in the Chinese EMR provides us a unique chance to examine the impacts of health insurance on health care utilization and outcomes, controlling for patient’s disease severity. ApproachesOur study population included patients with cirrhosis or primary liver cancer (PLC), from a large teaching hospital in Beijing. The comorbidity and disease severity variables were defined using EMR automated extraction methods that were validated in previous study. Health insurance was measured by actual reimbursement ratio (RR), which better captures patients’ actual financial burden than type of health insurance. Generalized linear regression model was used to analyze the impacts of health insurance coverage on total hospital expense, ratio of medication cost to total expense, and number of major procedures (i.e., transcatheter arterial chemoembolization, TACE) for cirrhosis. Logistic regression was used to assess the impact of health insurance on hospital mortality and the rate of TACE. We employed a wide range of risk factors in our models to adjust for disease severity and comorbidities, including Charlson comorbidities, MELD-Na score, and etiological factors of liver diseases.ResultsIn total, 5,465 cirrhosis patients and 3,357 PLC patients were included in the study. Among the PLC patients we identified 534 patients underwent TACE. After adjusted for comorbidities, disease severity and other confounders, RR was found to be associated with hospital mortality with odds ratio 3.2 in cirrhosis patients and 6.0 in PLC patients. Higher RR was correlated to lower total hospital cost (logarithm transferred coefficient -0.08 in cirrhosis patients and -0.15 in PLC patients) but related to higher ratio of medication cost (logarithm transferred coefficient 0.09 in both cirrhosis and PLC patients). Additionally, higher RR was associated with higher rate (odds ratio 1.6 in PLC patients) and also more times of TACE (logarithm transferred coefficient 0.31 in TACE patients). The results were consistent between cirrhosis patients and PLC patients.ConclusionThis study provided evidences that physicians’ behavior was influenced by health insurance. Patients with more generous health insurance coverage (higher RR) were found to have relatively lower total hospital cost but higher ratio of medication cost, higher rate and more times of TACE, and were more prone to die in hospital. These are evidences for physician’s gaming reacting to the economic incentives of the payment systems in China.

scholarly journals Social and Structural Determinants of Health Inequities: Socioeconomic, Transportation-Related, and Provincial-Level Indicators of Cost-Related Forgone Hospital Care in China

2021 ◽  
Vol 18 (11) ◽  
pp. 6113
Author(s):  
Samuel D. Towne ◽  
Xiaojun Liu ◽  
Rui Li ◽  
Matthew Lee Smith ◽  
Jay E. Maddock ◽  
...  
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
Rural Areas ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Medical Care Cost ◽  
Care Utilization ◽  
Universal Health Insurance ◽  
Structural Determinants ◽  
Universal Health

Despite near universal health insurance coverage in China, populations with low incomes may still face barriers in access and utilization of affordable health care. We aimed to identify the likelihood of forgone medical care due to cost by surveying individuals from the community to assess: (1) The percent with forgone medical care due to cost; and (2) Factors associated with forgone medical care due to cost. Surveys conducted (2016–2017) in Mandarin included demographic and medical care utilization-related items. Theoretically-informed, fully-adjusted analyses were employed. Approximately 94% of respondents had health insurance, which is somewhat similar to national estimates. Overall, 24% of respondents resided in rural areas, with 18% having less than a high school education, and 49% being male. More than 36% reported forgone medical care due to cost in the past 12 months. In fully-adjusted analyses, having lower education, generally not being satisfied with the commute to the hospital, and being a resident of a province with a lower density of physicians were associated with forgone medical care. Cost-related disparities in the access and utilization of needed medical care persist, even with near universal health insurance, which may be due to one’s satisfaction with travel time to healthcare and other community assets.

Sign in / Sign up

Export Citation Format

Share Document