The Affordable Care Act's Insurance Marketplace Subsidies Were Associated With Reduced Financial Burden For US Adults.
Research suggests that the Affordable Care Act (ACA) Medic-aid expansions improved financial protection for the poor. However, evidence is limited on whether subsidies offered through the ACA Marketplaces, the law's other major coverage expansion, were associated with reduced financial burden. Using...
| Publicado en: | Health Affairs Vol. 40; no. 3; pp. 496 - 505 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Health Affairs Publishing, LLC
Mar2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149157047&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149157047 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02782715 HAF jtl: Health Affairs issn: 02782715 maglogo: N pubinfo: dt: Mar2021 vid: 40 iid: 3 pid: 1453 pub: Health Affairs Publishing, LLC place: Washington, District of Columbia artinfo: ui: 149157047 149157047 149157047 10.1377/hlthaff.2020.01106 149157047 ppf: 496 ppct: 9 formats: tig: atl: The Affordable Care Act's Insurance Marketplace Subsidies Were Associated With Reduced Financial Burden For US Adults. aug: au: Liu, Charles Gotanda, Hiroshi Khullar, Dhruv Rice, Thomas Yusuke Tsugawa affil: General surgery resident in the Department of Surgery, Stanford University School of Medicine, in Stanford, California sug: subj: Patient Protection and Affordable Care Act United States Health Insurance Exchanges Health Care Costs In Adulthood Human Financial Support United States Program Implementation Adult Middle Age Descriptive Statistics Medicaid Expansion Logistic Regression Sensitivity and Specificity Male Female Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Research suggests that the Affordable Care Act (ACA) Medic-aid expansions improved financial protection for the poor. However, evidence is limited on whether subsidies offered through the ACA Marketplaces, the law's other major coverage expansion, were associated with reduced financial burden. Using national survey data from the period 2008-17, we examined changes in household health care spending among low-income adults eligible for both Marketplace premium subsidies and cost-sharing reductions (139-250 percent of the federal poverty level) and middle-income adults eligible only for premium subsidies (251-400 percent of the federal poverty level), using high-income adults ineligible for subsidies (greater than 400 percent of the federal poverty level) as controls. Among low-income adults, Marketplace subsidy implementation was associated with 17 percent lower out-of-pocket spending and 30 percent lower probability of catastrophic health expenditures. In contrast, middle-income adults did not experience reduced financial burden by either measure. These findings highlight the successes and limitations of Marketplace subsidies as debate continues over the ACA's future. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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