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Literature DB >> 28439903

Did Health Care Reform Help Kentucky Address Disparities in Coverage and Access to Care among the Poor?

Joseph A Benitez¹, E Kathleen Adams², Eric E Seiber³.

Abstract

OBJECTIVE: To evaluate the impact of Kentucky's full rollout of the Affordable Care Act on disparities in access to care due to poverty. DATA SOURCE: Restricted version of the Behavioral Risk Factor Surveillance System (BRFSS) for Kentucky and years 2011-2015. STUDY
DESIGN: We use a difference-in-differences framework to compare trends before and after implementation of the Affordable Care Act (ACA) in health insurance coverage, several access measures, and health care utilization for residents in higher versus lower poverty ZIP codes. PRINCIPAL
FINDINGS: Much of the reduction in Kentucky's uninsured rate appears driven by large uptakes in coverage from areas with higher concentrations of poverty. Residents in high-poverty communities experienced larger reductions, 8 percentage points (pp) in uninsured status and 7.5 pp in reporting unmet needs due to costs, than residents of lower poverty areas. These effects helped remove pre-ACA disparities in uninsured rates across these areas.
CONCLUSION: Because we observe positive effects on coverage and reductions in financial barriers to care among those from poorer communities, our findings suggest that expanding Medicaid helps address the health care needs of the impoverished. © Health Research and Educational Trust.

Keywords: Health reform; Medicaid expansion; access to care; disparities

Mesh：

Year: 2017 PMID： 28439903 PMCID： PMC5980370 DOI： 10.1111/1475-6773.12699

Source DB: PubMed Journal: Health Serv Res ISSN： 0017-9124 Impact factor: 3.402

28 in total

Did Health Care Reform Help Kentucky Address Disparities in Coverage and Access to Care among the Poor?

1. California's Early Coverage Expansion under the Affordable Care Act: A County-Level Analysis.

2. Both The 'Private Option' And Traditional Medicaid Expansions Improved Access To Care For Low-Income Adults.

3. Kentucky's Medicaid Expansion Showing Early Promise On Coverage And Access To Care.

4. Family coverage expansions: impact on insurance coverage and health care utilization of parents.

5. Medicaid Coverage Expansion and Implications for Cancer Disparities.

6. The Oregon experiment--effects of Medicaid on clinical outcomes.

7. The long-term impacts of Medicaid exposure in early childhood: Evidence from the program's origin.

8. The Role of Public Health Insurance in Reducing Child Poverty.

9. Disparities in diabetes: the nexus of race, poverty, and place.

10. Who Gained Insurance Coverage in 2014, the First Year of Full ACA Implementation?

1. Differences in referral patterns for rural primary care physicians from 2005 to 2016.

2. A comparison of methods for health policy evaluation with controlled pre-post designs.

3. Impact of the Medicare hospital readmissions reduction program on vulnerable populations.

4. Health Insurance Literacy Perceptions and the Needs of a Working-Class Community.

5. Obamacare: A bibliometric perspective.

6. The three-year impact of the Affordable Care Act on disparities in insurance coverage.

7. The impact of ACA Medicaid expansion on socioeconomic inequality in health care services utilization.

8. Unmet Medical Needs of Patients with Benign Prostate Enlargement.