Demographic, Insurance, and Health Characteristics of Newly Enrolled HIV-Positive Patients After Implementation of the Affordable Care Act in California.
Objectives. To examine changes in HIV-positive patient enrollment in a large health care delivery system before and after key Affordable Care Act (ACA) provisions went into effect in 2014. Methods. Analyses compared HIV-positive patients newly enrolled in Kaiser Permanente Northern California betwee...
| Published in: | American Journal of Public Health Vol. 106; no. 7; pp. 1211 - 1214 |
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| Main Authors: | , , , , , |
| Format: | Article |
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American Public Health Association
Jul2016
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=116097672&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 116097672 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Jul2016 vid: 106 iid: 7 pid: 44 pub: American Public Health Association artinfo: ui: 116097672 10.2105/AJPH.2016.303126 ppf: 1211 ppct: 3 formats: tig: atl: Demographic, Insurance, and Health Characteristics of Newly Enrolled HIV-Positive Patients After Implementation of the Affordable Care Act in California. aug: au: Satre, Derek D. Parthasarathy, Sujaya Altschuler, Andrea Silverberg, Michael J. Storholm, Erik Campbell, Cynthia I. affil: Division of Research, Kaiser Permanente Northern California Region, Oakland Department of Psychiatry, University of California, San Francisco su: United States California Medical care Health services accessibility Health insurance Sex distribution Health & social status Psychology of HIV-positive persons Medical care use Probability theory Patient Protection & Affordable Care Act Health insurance exchanges sug: subj: Medical care Health services accessibility Health insurance Sex distribution Health & social status United States California Direct individual life, health and medical insurance carriers Direct group life, health and medical insurance carriers Psychology of HIV-positive persons Medical care use Probability theory Patient Protection & Affordable Care Act Health insurance exchanges ab: Objectives. To examine changes in HIV-positive patient enrollment in a large health care delivery system before and after key Affordable Care Act (ACA) provisions went into effect in 2014. Methods. Analyses compared HIV-positive patients newly enrolled in Kaiser Permanente Northern California between January and June 2012 (n = 339) to those newly enrolled between January and June 2014 through the California insurance exchange or via other mechanisms (n = 549). Results. After the ACA, the HIV-positive patient enrollment increased. These new enrollees were more likely to be male (93.6% vs 89.1%; P = .01), to be enrolled in high-deductible benefit plans (≥ $1000; 18.8% vs 5.5%; P = .01), and to have better HIV viral control (HIV RNA levels below limits of quantification 79.5% vs 73.6%; P = .05) compared with pre-ACA new enrollees. Among post-ACA new enrollees, there were more patients in the lowest and highest age groups. Post-ACA exchange enrollees (22%) were more likely to be male and to have high-deductible plans than those enrolled through other mechanisms. Conclusions. More men, higher deductibles, and better HIV viral control characterize newly enrolled HIV-positive patients after the ACA in California.Public health implications. Evolving characteristics of HIV-positive enrollees may affect HIV policy, patient care needs, and service utilization. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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