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.

From Health Care Reform to Public Health Reform

2011 ◽  
Vol 39 (3) ◽  
pp. 328-339 ◽  
Author(s):  
Micah L. Berman
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Insurance ◽  
Affordable Care Act ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Fiscal Health ◽  
Congressional Budget Office ◽  
Universal Health Insurance Coverage ◽  
Public Health Reform

According to Congressional Budget Office projections, the Patient Protection and Affordable Care Act (Affordable Care Act or Act) — assuming it survives the pending legal challenges and is fully implemented — will provide health insurance to 34 million additional Americans by 2021. This will increase the percentage of non-elderly Americans with health insurance from the current rate of 83 percent to 95 percent. Although enactment of the Affordable Care Act constitutes a historic step forward in the nearly century-long effort to ensure universal health insurance coverage, relatively little in the Act focused on the potentially transformative impact of public health efforts that prevent disease. Chronic diseases such as heart disease, cancer, stroke, and diabetes are now responsible for more than 75 percent of health care costs, and reducing the incidence of these diseases — which are often entirely preventable — could dramatically improve the nation’s physical and fiscal health.

The Patient Protection and Affordable Care Act, Public Health, and the Elusive Target of Human Rights

2011 ◽  
Vol 39 (3) ◽  
pp. 340-354 ◽  
Author(s):  
Lance Gable
Keyword(s):  
Public Health ◽  
United States ◽  
Health Care ◽  
Affordable Care Act ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
The United States ◽  
Patient Protection ◽  
The Law ◽  
The Impact

The passage of the Patient Protection and Affordable Care Act (ACA) in March 2010 represents a significant turning point in the evolution of health care law and policy in the United States. By establishing a legal infrastructure that seeks to achieve universal health insurance coverage in the United States, the ACA targets some of the major impediments to accessing needed health care for millions of Americans and by extension attempts to strengthen the health system to support key determinants of health. Yet, like many newly passed legislative provisions, the ultimate effects and significance of the ACA remain uncertain. Those charged with implementing the ACA face formidable obstacles — indeed, some of the same obstacles that have been erected to impede other major pieces of social legislation in the past — including entrenched political opposition, constitutional challenges, and what will likely be a prolonged struggle over the content and direction of how the law is implemented. As these debates continue, it is nevertheless important to begin to assess the impact that the ACA has already had on health law in the United States and to consider the likely effects that the law will have on public health going forward.

scholarly journals Health Insurance Coverage In The Houston-Galveston Area Under The Patient Protection And Affordable Care Act

2013 ◽  
Vol 16 (3) ◽  
pp. A252
Author(s):  
C.E. Begley ◽  
A. Deshmukh ◽  
K. Eschbach ◽  
N. Fouladi ◽  
J. Liu ◽  
...  
Keyword(s):  
Health Insurance ◽  
Affordable Care Act ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Patient Protection

The Changing Health Insurance Coverage Landscape in the United States

2020 ◽  
pp. e264-e274
Author(s):  
K. Robin Yabroff ◽  
Samuel Valdez ◽  
Mireille Jacobson ◽  
Xuesong Han ◽  
A. Mark Fendrick
Keyword(s):  
United States ◽  
Health Care ◽  
Health Insurance ◽  
Cancer Care ◽  
Care Delivery ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
The United States ◽  
Future Research ◽  
Health Coverage

Changes in the health insurance coverage landscape in the United States during the past decade have important implications for receipt and affordability of cancer care. In this paper, we summarize evidence for the association between health insurance coverage and cancer prevention and treatment. We then discuss ongoing changes in health care coverage, including implementation of provisions of the Affordable Care Act, increasing prevalence of high-deductible health insurance plans, and factors that affect health care delivery, with a focus on vertical integration of hospitals and providers. We summarize the evidence for the effects of the changes in health coverage on care and discuss areas for future research with the goal of informing efforts to improve cancer care delivery and outcomes in the United States.

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