The Affordable Care Act and Racial Disparities in Healthcare Utilization: New Evidence From Employer Mandate.

The 2010 United States Affordable Care Act (ACA) mandates small and mid-size firms to provide health insurance for full-time workers. This study investigates whether a key provision of the ACA employer mandate has reduced racial disparities in health services use among uterine cancer (UC) survivors....

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Publicado en:Review of Black Political Economy Vol. 52; no. 2; pp. 143 - 170
Autores principales: Osmani, Ahmad Reshad, Khudri, Md Mohsan
Formato: Artículo
Publicado: Sage Publications Inc. Jun2025
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2025
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      pub: Sage Publications Inc.
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        atl: The Affordable Care Act and Racial Disparities in Healthcare Utilization: New Evidence From Employer Mandate.
      aug:
        au:
          Osmani, Ahmad Reshad
          Khudri, Md Mohsan
        affil:
          Department of Economics and Finance, 14691Louisiana State University (LSU) Shreveport, Shreveport, LA, USA
          Department of Economics, Fogelman College of Business and Economics, 5415The University of Memphis, Memphis, USA
      su:
        Medical care costs
        Health equity
        Medical offices
        Patient Protection & Affordable Care Act
        Medical care use
        Health insurance exchanges
      sug:
        subj:
          Medical care costs
          Health equity
          Office Administrative Services
          All Other Outpatient Care Centers
          HMO Medical Centers
          Offices of All Other Miscellaneous Health Practitioners
          Offices of all other health practitioners
          Offices of Physicians, Mental Health Specialists
          Offices of physicians
          Offices of Physicians (except Mental Health Specialists)
          Medical offices
          Patient Protection & Affordable Care Act
          Medical care use
          Health insurance exchanges
      keyword:
        Affordable Care Act
        cancer survivors
        D09
        Difference-in-Differences
        employer mandate
        I13
        I14
        Medical Expenditure Panel Survey (MEPS)
        out-of-pocket healthcare expenditure
        population health disparities
        Affordable Care Act
        cancer survivors
        D09
        Difference-in-Differences
        employer mandate
        I13
        I14
        Medical Expenditure Panel Survey (MEPS)
        out-of-pocket healthcare expenditure
        population health disparities
      ab: The 2010 United States Affordable Care Act (ACA) mandates small and mid-size firms to provide health insurance for full-time workers. This study investigates whether a key provision of the ACA employer mandate has reduced racial disparities in health services use among uterine cancer (UC) survivors. Employing a nationally representative Medical Expenditure Panel Survey (MEPS) data from 2008 to 2017 and the Difference-in-Differences empirical model, we find that the ACA employer mandate increases the utilization of pap smear tests among all groups of UC survivors. Additionally, our results suggest a rise in physician's office visits among non-Hispanic Black and Hispanic UC survivors driven by the announcement of the employer mandate in the post-ACA period. Our results further suggest a reduction in out-of-pocket prescription drug expenditure among UC survivors of racial and ethnic minorities. Study findings have implications for improving ethnic minority female population health outcomes.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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