Three-Year Impacts Of The Affordable Care Act: Improved Medical Care And Health Among Low-Income Adults.

@article{Sommers2017ThreeYearIO,
  title={Three-Year Impacts Of The Affordable Care Act: Improved Medical Care And Health Among Low-Income Adults.},
  author={Benjamin D. Sommers and Bethany Maylone and Robert J Blendon and Endel John Orav and Arnold M. Epstein},
  journal={Health affairs},
  year={2017},
  volume={36 6},
  pages={
          1119-1128
        }
}
Major policy uncertainty continues to surround the Affordable Care Act (ACA) at both the state and federal levels. [] Key Method We assessed changes in health care use and self-reported health after three years of the ACA's coverage expansion, using survey data collected from low-income adults through the end of 2016 in three states: Kentucky, which expanded Medicaid; Arkansas, which expanded private insurance to low-income adults using the federal Marketplace; and Texas, which did not expand coverage.
Changes In Health Insurance Coverage, Access To Care, And Income-Based Disparities Among US Adults, 2011-17.
TLDR
It is found that the proportion of adults who were uninsured or avoided care because of cost increased by 1.2 percentage points and 1.0 percentage points during 2017, compared to the end of 2016.
Effects of the Affordable Care Act on Health Care Access and Self-Assessed Health After 3 Years
TLDR
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.
Four Years Later : Insurance Coverage and Access to Care Continue to Diverge Between ACA Medicaid Expansion and Non-Expansion States
TLDR
The first evidence is provided on the impact of the ACA Medicaid expansions four years after implementation on changes in insurance coverage, access to and use of medical care, and health among low-income adults in expansion and nonexpansion states from 2010 to 2017.
The Affordable Care Act Reduced Socioeconomic Disparities In Health Care Access.
TLDR
Health care access for people in lower socioeconomic strata improved in both states that did expand eligibility for Medicaid under the ACA and states thatdid not, however, gains were larger in expansion states.
The Affordable Care Act Attenuates Financial Strain According to Poverty Level
TLDR
Overall, the ACA has attenuated health care–related financial strain and improved access to and the utilization of health services for low- and middle-income adults who have traditionally not met income eligibility requirements for public insurance programs.
ACA Medicaid Expansion Associated With Increased Medicaid Participation and Improved Health Among Near-Elderly: Evidence From the Health and Retirement Study
TLDR
This study estimates difference-in-differences models, comparing changes in outcomes before and after the Medicaid expansion in treatment and control states among a sample of over 3,000 unique adults aged 50 to 64 with income below 100% of the federal poverty level, and suggests that the Medicaid Expansion led to improved physical health for low-income, older adults.
Medicaid Expansion And Marketplace Eligibility Both Increased Coverage, With Trade-Offs In Access, Affordability.
TLDR
ACA provisions implemented in 2014 provide a valuable case study regarding the merits of using public versus subsidized private insurance to help low-income people obtain and finance health care.
The Effects of State Medicaid Expansion on Low-Income Individuals' Access to Health Care: Multilevel Modeling.
TLDR
It is demonstrated that state-level Medicaid expansion improved health care access among low-income US residents, however, residents with income below 100% of the poverty line in non-expansion states were disproportionately negatively affected by states' decision to not expand Medicaid coverage.
Coverage for Adults With Chronic Disease Under the First 5 Years of the Affordable Care Act
TLDR
Assessment of changes in coverage for nonelderly adults with and without chronic disease over the first 5 years of ACA implementation, and the effects of state-level Medicaid eligibility expansions on coverage for these populations, found coverage significantly improved for people with chronic disease.
Changes in Health Care Access, Behaviors, and Self-reported Health Among Low-income US Adults Through the Fourth Year of the Affordable Care Act
TLDR
In nationally-representative survey data, improvements in mental but not physical self-reported health among low-income Americans after 4 years of full ACA implementation are observed.
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