Academic Journal
Changes In Health Insurance Coverage, Access To Care, And Income-Based Disparities Among US Adults, 2011–17: Assessing access to care among US non-elderly adults before and after Trump administration policies that may have affected the Affordable Care Act’s effectiveness.
| Title: | Changes In Health Insurance Coverage, Access To Care, And Income-Based Disparities Among US Adults, 2011–17: Assessing access to care among US non-elderly adults before and after Trump administration policies that may have affected the Affordable Care Act’s effectiveness. |
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| Authors: | Jacob Bor, David K. Jones, Kevin N. Griffith, Benjamin D. Sommers |
| Source: | Health Affairs. 39:319-326 |
| Publisher Information: | Health Affairs (Project Hope), 2020. |
| Publication Year: | 2020 |
| Subject Terms: | Adult, Medically Uninsured, Insurance, Health, Medicaid, Patient Protection and Affordable Care Act, 1. No poverty, 01 natural sciences, Health Services Accessibility, Insurance Coverage, United States, 3. Good health, 03 medical and health sciences, 0302 clinical medicine, Humans, 0101 mathematics, 10. No inequality |
| Description: | The Affordable Care Act increased insurance coverage and access to care, according to numerous national studies. However, the administration of President Donald Trump implemented several policies that may have affected the act's effectiveness. It is unknown what effect these changes had on access to care. We used survey data for 2011-17 from the Behavioral Risk Factor Surveillance System to assess changes access to care among nonelderly adults from before to after the change in administration in 2017. We 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, respectively, during 2017. These changes were greater among respondents who had household incomes below 138 percent of the federal poverty level, resided in states that did not expand eligibility for Medicaid, or both. At the population level, our findings imply that approximately two million additional US adults experienced these outcomes at the end of 2017, compared to the end of 2016. |
| Document Type: | Article |
| Language: | English |
| ISSN: | 1544-5208 0278-2715 |
| DOI: | 10.1377/hlthaff.2019.00904 |
| Access URL: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8139823 https://pubmed.ncbi.nlm.nih.gov/32011953 |
| Accession Number: | edsair.doi.dedup.....596dd675d0617259f444caabea9a3d0c |
| Database: | OpenAIRE |
| ISSN: | 15445208 02782715 |
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| DOI: | 10.1377/hlthaff.2019.00904 |