Gain in Insurance Coverage and Residual Uninsurance Under the Affordable Care Act: Texas, 2013–2016.
Objectives.To examine the effects of the Affordable Care Act’s (ACA’s) Marketplace on Texas residents and determine which population subgroups benefited the most and which the least. Methods. We analyzed insurance coverage rates among nonelderly Texas adults using the Health Reform Monitoring Survey...
| Publicado en: | American Journal of Public Health Vol. 107; no. 1; pp. 120 - 127 |
|---|---|
| Autores principales: | , , |
| Formato: | Artículo |
| Publicado: |
American Public Health Association
Jan2017
|
| 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=120045670&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 120045670 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: Jan2017 vid: 107 iid: 1 pid: 44 pub: American Public Health Association artinfo: ui: 120045670 10.2105/AJPH.2016.303510 ppf: 120 ppct: 7 formats: tig: atl: Gain in Insurance Coverage and Residual Uninsurance Under the Affordable Care Act: Texas, 2013–2016. aug: au: Pickett, Stephen Marks, Elena Ho, Vivian affil: Department of Economics, Rice University, Houston, TX. Episcopal Health Foundation, Houston. Baker Institute for Public Policy, Rice University. Baker Institute for Public Policy and the Department of Medicine, Baylor College of Medicine, Houston. su: United States Texas Insurance Age distribution Medicaid Race Sex distribution Socioeconomic factors Health & social status Medically uninsured persons Probability theory Logistic regression analysis Disease prevalence Data analysis software Patient Protection & Affordable Care Act Health insurance exchanges sug: subj: Insurance Age distribution Medicaid Race Sex distribution Socioeconomic factors Health & social status United States Texas Other Insurance Funds Third Party Administration of Insurance and Pension Funds All Other Insurance Related Activities Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Medically uninsured persons Probability theory Logistic regression analysis Disease prevalence Data analysis software Patient Protection & Affordable Care Act Health insurance exchanges ab: Objectives.To examine the effects of the Affordable Care Act’s (ACA’s) Marketplace on Texas residents and determine which population subgroups benefited the most and which the least. Methods. We analyzed insurance coverage rates among nonelderly Texas adults using the Health Reform Monitoring Survey-Texas from September 2013, just before the first open enrollment period in the Marketplace, through March 2016. Results. Texas has experienced a roughly 6–percentage-point increase in insurance coverage (from 74.7% to 80.6%; P= .012) after implementation of the major insurance provisions of the ACA. The 4 subgroups with the largest increases in adjusted insurance coverage between 2013 and 2016 were persons aged 50 to 64 years (12.1 percentage points; P = .002), Hispanics (10.9 percentage points;P = .002),persons reporting fair or poor health status (10.2 percentage points; P = .038), and those with a high school diploma as their highest educational attainment (9.2 percentage points; P = .023). Conclusions. Many population subgroups have benefited from the ACA’s Marketplace, but approximately 3 million Texas residents still lack health coverage. Adopting the ACA’s Medicaid expansion is a means to address the lack of coverage. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|