scholarly journals Trends in Out-of-Pocket Healthcare Expenses Before and After Passage of the Patient Protection and Affordable Care Act

2021 ◽  
Vol 4 (4) ◽  
pp. e215499
Author(s):  
Krishna Vangipuram Suresh ◽  
Kevin Wang ◽  
Adam Margalit ◽  
Amit Jain
Keyword(s):  
Affordable Care Act ◽  
Patient Protection ◽  
Before And After ◽  
Healthcare Expenses

scholarly journals Breastfeeding Patterns Among Employees at a Land Grant University

2017 ◽  
Vol 65 (12) ◽  
pp. 580-594 ◽  
Author(s):  
Joan D. Paddock
Keyword(s):  
Affordable Care Act ◽  
Exclusive Breastfeeding ◽  
Breastfeeding Support ◽  
Land Grant University ◽  
Patient Protection ◽  
Before And After ◽  
Healthy People 2020 ◽  
Returning To Work ◽  
University Setting ◽  
Initiation Of Breastfeeding

Exclusive breastfeeding is recommended for the first 6 months of life, and up to 1 year with complementary food. Breastfeeding rates have improved over the last 20 years, but exclusive breastfeeding, and breastfeeding to 6 months have not yet met Healthy People 2020 goals. Given that the majority of women return to work shortly after delivery, workplace support for breastfeeding could facilitate breastfeeding continuance. The Patient Protection and Affordable Care Act (ACA) was the first federal legislation to address breastfeeding in the workplace. This article examines employee breastfeeding behavior before and after implementation of workplace breastfeeding support policies and practices. Breastfeeding behavior change over time was assessed by comparing employees’ responses by age of their youngest children. Results indicated that breastfeeding among employees and breastfeeding after returning to work improved after initiation of breastfeeding support policies in this university setting.

scholarly journals Early Impact of the Patient Protection and Affordable Care Act on Delivery of Children’s Surgical Care

2019 ◽  
Vol 58 (4) ◽  
pp. 453-460 ◽  
Author(s):  
Jonathan C. Routh ◽  
Steven Wolf ◽  
Rohit Tejwani ◽  
Ruiyang Jiang ◽  
Gina-Maria Pomann ◽  
...  
Keyword(s):  
Affordable Care Act ◽  
Inpatient Care ◽  
Surgical Care ◽  
Control Group ◽  
Medicaid Expansion ◽  
Inclusion Criteria ◽  
Patient Protection ◽  
Care Facilities ◽  
Before And After ◽  
The Impact

The impact of the Patient Protection and Affordable Care Act (PPACA) on children’s access to surgical care is not well-defined. Our objective was to describe the early impact of PPACA on children’s surgical care before and after Medicaid expansion in 2014. We compared pediatric and young adult surgical outcomes in 2013 and 2014 in Medicaid expansion and nonexpansion states; young adults were included as a control group. From 4 states, 1 597 708 encounters met all inclusion criteria. Comparing expansion to nonexpansion states, modest increases were noted in elective instead of urgent/emergent admissions; in ambulatory instead of inpatient surgeries; in inpatient length of stays; in discharges to home instead of other inpatient care facilities; and in charges for inpatient admissions. A modest decrease of −1.1% was noted in ambulatory admission charges. Overall, we conclude that Medicaid expansion likely increased children’s access to surgical care, resulting in improved delivery and slightly reduced charges.

Assessing Individual Health Insurance Coverage and Utilization Before and After the Patient Protection and Affordable Care Act

2016 ◽  
Vol 7 (4) ◽  
pp. 55-70
Author(s):  
Theresa Jefferson ◽  
Gloria Phillips-Wren ◽  
Phoebe D. Sharkey
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Affordable Care Act ◽  
Care Delivery ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Health Care Delivery System ◽  
Patient Protection ◽  
Before And After ◽  
Using Data

The adoption of the Patient Protection and Affordable Care Act (PPACA) in 2010 with the intent to improve the U.S. health care delivery system by expanding health insurance coverage and controlling health care costs has generated intense debate regarding its implementation. Marketplaces known as insurance exchanges have been established to provide coverage for Americans who otherwise could not get affordable health care benefits. These exchanges have been plagued with financial losses and other challenges leading to several large insurance providers discontinuing participation in the program. There are many possible remedies under consideration to make the program work better. This research seeks to support program evaluation as well as potential modifications to the law by providing baseline data to compare access and costs in states with state-based exchanges compared to states with federal exchanges. The authors perform an analysis by state for the years 2012 and 2013 (pre-PPACA implementation) using data from the Current Population Survey (U.S. Census) as well as de-identified claims data from Inovalon, Inc.

scholarly journals Health Insurance Coverage before and after the Affordable Care Act in the USA

Sci ◽  
2021 ◽  
Vol 3 (2) ◽  
pp. 25
Author(s):  
Jesse Patrick ◽  
Philip Q. Yang
Keyword(s):  
Health Insurance ◽  
National Health ◽  
Affordable Care Act ◽  
The United States ◽  
Insurance Status ◽  
Health Insurance Status ◽  
Full Implementation ◽  
Before And After ◽  
The Affordable Care Act ◽  
Partial Implementation

The Affordable Care Act (ACA) is at the crossroads. It is important to evaluate the effectiveness of the ACA in order to make rational decisions about the ongoing healthcare reform, but existing research into its effect on health insurance status in the United States is insufficient and descriptive. Using data from the National Health Interview Surveys from 2009 to 2015, this study examines changes in health insurance status and its determinants before the ACA in 2009, during its partial implementation in 2010–2013, and after its full implementation in 2014 and 2015. The results of trend analysis indicate a significant increase in national health insurance rate from 82.2% in 2009 to 89.4% in 2015. Logistic regression analyses confirm the similar impact of age, gender, race, marital status, nativity, citizenship, education, and poverty on health insurance status before and after the ACA. Despite similar effects across years, controlling for other variables, youth aged 26 or below, the foreign-born, Asians, and other races had a greater probability of gaining health insurance after the ACA than before the ACA; however, the odds of obtaining health insurance for Hispanics and the impoverished rose slightly during the partial implementation of the ACA, but somewhat declined after the full implementation of the ACA starting in 2014. These findings should be taken into account by the U.S. Government in deciding the fate of the ACA.

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