Awareness and Experience with Affordable Care Act Insurance Exchanges: Perspectives from Low-Income Adults in Two Nonexpansion States.
The success of the Affordable Care Act (ACA) and its policy goal of increasing health insurance coverage across the United States, particularly for low income populations, rests in part on community-based outreach activities focused on consumer education and strategies to encourage sign–up. This pap...
| Published in: | Journal of Poverty Vol. 21; no. 3; pp. 193 - 208 |
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| Main Authors: | , , , , |
| Format: | Article |
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Taylor & Francis Ltd
May/Jun2017
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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=hlh&AN=123449574&site=ehost-live header: @attributes: shortDbName: hlh uiTerm: 123449574 longDbName: Humanities International Complete uiTag: AN controlInfo: bkinfo: jinfo: jid: 10875549 41T jtl: Journal of Poverty issn: 10875549 maglogo: N pubinfo: dt: May/Jun2017 vid: 21 iid: 3 pid: 377 pub: Taylor & Francis Ltd artinfo: ui: 123449574 10.1080/10875549.2016.1186776 ppf: 193 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P size: 991KB tig: atl: Awareness and Experience with Affordable Care Act Insurance Exchanges: Perspectives from Low-Income Adults in Two Nonexpansion States. aug: au: Zimmerman, Mary K. LaPierre, Tracey A. Jones, Emily V. M. Gurley-Calvez, Tami McCandless, Bridget affil: Department of Health Policy and Management, School of Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA Department of Sociology, University of Kansas, Lawrence, Kansas, USA Health Care Foundation of Greater Kansas City, Kansas City, Missouri, USA su: Patient Protection & Affordable Care Act Health insurance Low-income consumers Consumer attitudes Health education United States sug: subj: United States Patient Protection & Affordable Care Act Health insurance Low-income consumers Consumer attitudes Health education keyword: Affordable Care Act consumer attitudes health education health insurance low-income ab: The success of the Affordable Care Act (ACA) and its policy goal of increasing health insurance coverage across the United States, particularly for low income populations, rests in part on community-based outreach activities focused on consumer education and strategies to encourage sign–up. This paper draws on focus group data collected to evaluate and learn from one such community effort, located in a two-state region with significant political opposition to the ACA. Specifically, the research objectives were to better understand low income consumers’ experiences with ACA marketplaces during the initial sign–up period, both barriers and facilitators, and to learn what improvements they recommend for future outreach efforts. Focus group results show very limited knowledge of basic insurance concepts as well as the ACA. Participants reported numerous technological and related access barriers, which further complicated sign–up and caused them to lose confidence and become suspicious of the process. When asked how best to provide information and assistance to individuals such as themselves, participants pointed to several reasons conventional outreach might not be effective and suggested alternative strategies. Although public attention has focused on technical aspects of ACA sign–up, our findings suggest that future obstacles for those who remain uninsured are also likely to be related to perceptions and culturally–based understandings of “Obamacare” and how insurance works. This study underscores the importance of incorporating trusted, community relationships into efforts to expand coverage. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y custom: Copyright of Journal of Poverty is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Journal of Poverty holder: Taylor & Francis Ltd dt: @attributes: year: 2017 holdings: @attributes: islocal: N |
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