Reasons Why Individuals Remain Uninsured Under the Affordable Care Act: Experiences of Patients at a Student-Run Free Clinic in Michigan, a Medicaid Expansion State.
Since the enactment of the Affordable Care Act (ACA), many people remain uninsured. While studies have examined this population, few have explored patients' experiences seeking insurance. To elucidate these individuals' perspectives, we surveyed patients (n = 80) at the University of Michigan Studen...
| Publicado en: | Journal of Community Health Vol. 41; no. 2; pp. 417 - 424 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Apr2016
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=113486725&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 113486725 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: Apr2016 vid: 41 iid: 2 pid: 237 pub: Springer Nature artinfo: ui: 113486725 10.1007/s10900-015-0112-3 ppf: 417 ppct: 7 formats: fmt: @attributes: type: P size: 849KB tig: atl: Reasons Why Individuals Remain Uninsured Under the Affordable Care Act: Experiences of Patients at a Student-Run Free Clinic in Michigan, a Medicaid Expansion State. aug: au: Desmond, Brian Laux, Molly Levin, Carolyn Huang, Jiaxin Williams, Brent affil: Medical Students, University of Michigan Medical School, Ann Arbor 48109-2800 USA Associate Professor of Internal Medicine, Medical Director, Complex Care Management Program, University of Michigan Health System, Ann Arbor 48109-2800 USA su: Michigan Insurance Medicaid Patient satisfaction Medical students Medically uninsured persons Questionnaires Data analysis software Patient Protection & Affordable Care Act Descriptive statistics sug: subj: Insurance Medicaid Patient satisfaction Michigan Third Party Administration of Insurance and Pension Funds All Other Insurance Related Activities Other Insurance Funds Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Medical students Medically uninsured persons Questionnaires Data analysis software Patient Protection & Affordable Care Act Descriptive statistics keyword: Adults Cost of healthcare Disparities Eligibility Health insurance Health insurance exchanges Healthcare reform State health plan Tax credits Adults Cost of healthcare Disparities Eligibility Health insurance Health insurance exchanges Healthcare reform State health plan Tax credits ab: Since the enactment of the Affordable Care Act (ACA), many people remain uninsured. While studies have examined this population, few have explored patients' experiences seeking insurance. To elucidate these individuals' perspectives, we surveyed patients (n = 80) at the University of Michigan Student-Run Free Clinic concerning their activity accessing insurance. Over half of respondents had sought insurance in the past 6 months; 57 % of respondents qualified for Medicaid by self-reported income (≤138 % FPL) and all but one were eligible for tax credits on the Health Insurance Marketplace. However, only 35 % of apparently Medicaid-eligible respondents had recently applied. There was no significant difference in the rate of applying for those above the income cutoff ( p = 0.901). Perceived expense of plans and belief of ineligibility for Medicaid discouraged respondents from actively seeking insurance. Personalized outreach emphasizing new Medicaid eligibility requirements and tax credits may be needed to facilitate Medicaid enrollment for some uninsured persons under the ACA. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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