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Phone: (843) 805-6930
West Ashley Library
9 a.m. - 4 p.m.
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Folly Beach Library
Closed for renovations
Phone: (843) 588-2001
John L. Dart Library
9 a.m. - 6 p.m.
Phone: (843) 722-7550
St. Paul's/Hollywood Library
9 a.m. - 5 p.m.
Phone: (843) 889-3300
Mt. Pleasant Library
9 a.m. – 6 p.m.
Phone: (843) 849-6161
Dorchester Road Library
9 a.m. - 6 p.m.
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Wando Mount Pleasant Library
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Phone: (843) 884-9741
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Changes in Veterans' Coverage and Access to Care Following the Affordable Care Act, 2011–2017.
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- Author(s): Kelley, A. Taylor1 (AUTHOR) ; Tipirneni, Renuka1 (AUTHOR); Levy, Helen1 (AUTHOR)
- Source:
American Journal of Public Health. Sep2019, Vol. 109 Issue 9, p1233-1235. 3p.- Subject Terms:
*MEDICAL care of veterans; *HEALTH services accessibility; *HEALTH insurance; *MEDICAID; *PRIMARY care; *AMERICAN veterans; *INSURANCE; *HEALTH status indicators; *MEDICAL care costs; *PRIMARY health care; *RISK assessment; *SOCIOECONOMIC factors; *TREATMENT delay (Medicine); PATIENT Protection & Affordable Care Act - Source:
- Additional Information
- Subject Terms:
- Abstract: Objectives. To evaluate the effect of the Affordable Care Act (ACA) on US veterans' access to care. Methods. We used US Behavioral Risk Factor Surveillance System data to compare measures of veterans' coverage and access to care, including primary care, for 3-year periods before (2011–2013) and after (2015–2017) ACA coverage provisions went into effect. We used difference-in-differences analyses to compare changes in Medicaid expansion states with those in nonexpansion states. Results. Coverage increased and fewer delays in care were reported in both expansion and nonexpansion states after 2014, with larger effects among low socioeconomic status (SES) and poor health subgroups. Coverage increases were significantly larger in expansion states than in nonexpansion states. Reports of cost-related delays, no usual source of care, and no checkup within 12 months generally improved in expansion states relative to nonexpansion states, but improvements were small; changes were mixed among veterans with low SES or poor health. Conclusions. Increases in insurance coverage among nonelderly veterans after ACA coverage expansions did not consistently translate into improved access to care. Additional study is needed to understand persisting challenges in veterans' access to care. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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