Home - News ( United States | United Kingdom | Italy | Germany ) - Football scores

Showing content from https://pubmed.ncbi.nlm.nih.gov/31299024/ below:

Insurance Loss in the Era of the Affordable Care Act: Association With Access to Health Services

Affiliations

• ¹ Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.

• PMID: 31299024
• DOI: 10.1097/MLR.0000000000001150

Item in Clipboard

Ramin Mojtabai. Med Care. 2019 Aug.

• ¹ Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.

• PMID: 31299024
• DOI: 10.1097/MLR.0000000000001150

Item in Clipboard

Background: Every year, millions of Americans lose their health insurance and remain uninsured for various reasons, potentially impacting access to medical services.

Objective: To examine trends in health insurance loss in the periods shortly before and after implementation of Patient Protection and Affordable Care Act (ACA) and to assess the association of past-year health insurance loss with access to health services and medications.

Research design and subjects: Trends in health insurance loss were examined in 176,961 nonelderly adult participants of the National Health Interview Survey 2011-2017-a representative cross-sectional annual survey of US general population. Multivariable logistic regression models were used to examine access to health services and medications.

Measures: Loss of private insurance or Medicaid in the past year; use of emergency room services and hospitalizations; contact with medical providers; affording medical care or medications; cost-related medication nonadherence.

Results: Private health insurance loss decreased from 3.9%-4.0% in 2011-2013 to 2.7% to 3.1% in 2014-2017 (P<0.001); Medicaid loss decreased from 8.5%-8.9% to 4.6%-6.4% in this period (P<0.001). Nevertheless, as late as 2017, ∼6 million uninsured adults reported having lost private insurance or Medicaid in the past year. Loss of either type of health insurance was associated with lower odds of accessing medical providers, but higher odds of not affording medical care and poor adherence to medication regimens to save costs.

Conclusions: Implementation of ACA was associated with lower risk of health insurance loss. Nevertheless, health insurance loss remains a major barrier to accessing health services and prescribed medications.

PubMed Disclaimer

• Access and Quality of Care by Insurance Type for Low-Income Adults Before the Affordable Care Act.

  Nguyen KH, Sommers BD. Nguyen KH, et al. Am J Public Health. 2016 Aug;106(8):1409-15. doi: 10.2105/AJPH.2016.303156. Epub 2016 May 19. Am J Public Health. 2016. PMID: 27196646 Free PMC article.

• Changes in Self-reported Insurance Coverage, Access to Care, and Health Under the Affordable Care Act.

  Sommers BD, Gunja MZ, Finegold K, Musco T. Sommers BD, et al. JAMA. 2015 Jul 28;314(4):366-74. doi: 10.1001/jama.2015.8421. JAMA. 2015. PMID: 26219054

• Has the Affordable Care Act Been Associated with Increased Insurance Coverage and Early-stage Diagnoses of Bone and Soft-tissue Sarcomas in Adults?

  Malik AT, Alexander J, Khan SN, Scharschmidt TJ. Malik AT, et al. Clin Orthop Relat Res. 2021 Mar 1;479(3):493-502. doi: 10.1097/CORR.0000000000001438. Clin Orthop Relat Res. 2021. PMID: 32805094 Free PMC article.

• The Affordable Care Act: implications for health-care equity.

  Gaffney A, McCormick D. Gaffney A, et al. Lancet. 2017 Apr 8;389(10077):1442-1452. doi: 10.1016/S0140-6736(17)30786-9. Lancet. 2017. PMID: 28402826 Review.

• Women's Coverage, Utilization, Affordability, And Health After The ACA: A Review Of The Literature.

  Lee LK, Chien A, Stewart A, Truschel L, Hoffmann J, Portillo E, Pace LE, Clapp M, Galbraith AA. Lee LK, et al. Health Aff (Millwood). 2020 Mar;39(3):387-394. doi: 10.1377/hlthaff.2019.01361. Health Aff (Millwood). 2020. PMID: 32119612 Review.

• Ensuring access to high-quality substance use disorder treatment for Medicaid enrollees: A qualitative study of diverse stakeholders' perspectives.

  Zhen-Duan J, Fukuda M, DeJonckheere M, Falgas-Bagué I, Miyawaki S, Khazi P, Alegría M. Zhen-Duan J, et al. J Subst Abuse Treat. 2021 Oct;129:108511. doi: 10.1016/j.jsat.2021.108511. Epub 2021 May 31. J Subst Abuse Treat. 2021. PMID: 34176694 Free PMC article.

• Employment Loss as a Result of COVID-19: a Nationwide Survey at the Onset of COVID-19 in US LGBTQ+ Populations.

  Martino RJ, Krause KD, Griffin M, LoSchiavo C, Comer-Carruthers C, Halkitis PN. Martino RJ, et al. Sex Res Social Policy. 2022;19(4):1855-1866. doi: 10.1007/s13178-021-00665-9. Epub 2021 Nov 13. Sex Res Social Policy. 2022. PMID: 34804251 Free PMC article.

• The Coronavirus Disease 2019 (COVID-19) Pandemic: A Patient-Centered Model of Systemic Shock and Cancer Care Adherence.

  Carlos RC, Lowry KP, Sadigh G. Carlos RC, et al. J Am Coll Radiol. 2020 Jul;17(7):927-930. doi: 10.1016/j.jacr.2020.05.032. Epub 2020 Jun 3. J Am Coll Radiol. 2020. PMID: 32631494 Free PMC article. No abstract available.

• Medicaid Unwinding and Changes in Buprenorphine Dispensing.

  Constantin J, Kenney GM, Simon K, Chua KP. Constantin J, et al. JAMA Netw Open. 2025 May 1;8(5):e258469. doi: 10.1001/jamanetworkopen.2025.8469. JAMA Netw Open. 2025. PMID: 40314954 Free PMC article.

• Healthcare Access and Utilization Among Persons Who Inject Drugs in Medicaid Expansion and Nonexpansion States: 22 United States Cities, 2018.

  Lewis R, Baugher AR, Finlayson T, Wejnert C, Sionean C; National HIV Behavioral Surveillance (NHBS) Study Group. Lewis R, et al. J Infect Dis. 2020 Sep 2;222(Suppl 5):S420-S428. doi: 10.1093/infdis/jiaa337. J Infect Dis. 2020. PMID: 32877551 Free PMC article.

RetroSearch is an open source project built by @garambo | Open a GitHub Issue

Search and Browse the WWW like it's 1997 | Search results from DuckDuckGo

HTML: 3.2 | Encoding: UTF-8 | Version: 0.7.3