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Racial and Ethnic Disparities in Services and the Patient Protection and Affordable Care Act.
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- Author(s): Abdus, Salam; Mistry, Kamila B.; Selden, Thomas M.
- Source:
American Journal of Public Health. 2015 Supplement 5, Vol. 105, pS668-S675. 8p. - Source:
- Additional Information
- Subject Terms: BLACK people; ETHNIC groups; FAMILIES; HEALTH services accessibility; HEALTH status indicators; HISPANIC Americans; INSURANCE; HEALTH insurance; LONGITUDINAL method; MEDICAID; MEDICAL care research; MEDICAL care use; POVERTY; PREVENTIVE health services; SURVEYS; WHITE people; SECONDARY analysis; SOCIOECONOMIC factors; PATIENT Protection & Affordable Care Act; DESCRIPTIVE statistics; STATE health plans; HEALTH insurance exchanges
- Subject Terms:
- Abstract: Objectives. We examined prereform patterns in insurance coverage, access to care, and preventive services use by race/ethnicity in adults targeted by the coverage expansions of the Patient Protection and Affordable Care Act (ACA). Methods. We used pre-ACA household data from the Medical Expenditure Panel Survey to identify groups targeted by the coverage provisions of the Act (Medicaid expansions and subsidized Marketplace coverage). We examined racial/ethnic differences in coverage, access to care, and preventive service use, across and within ACA relevant subgroups from 2005 to 2010. The study took place at the Agency for Healthcare Research and Quality in Rockville, Maryland. Results. Minorities were disproportionately represented among those targeted by the coverage provisions of the ACA. Targeted groups had lower rates of coverage, access to care, and preventive services use, and racial/ethnic disparities were, in some cases, widest within these targeted groups. Conclusions. Our findings highlighted the opportunity of the ACA to not only to improve coverage, access, and use for all racial/ethnic groups, but also to narrow racial/ethnic disparities in these outcomes. Our results might have particular importance for states that are deciding whether to implement the ACA Medicaid expansions. [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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