Effects of the ACA on Preventive Care Disparities

Applied Health Economics and Health Policy
Cagdas Agirdas, Jordan G Holding

Abstract

The Affordable Care Act (ACA) requires non-grandfathered private insurance plans, starting with plan years on or after September 23rd, 2010, to provide certain preventive care services without any cost sharing in the form of deductibles, copayments or co-insurance. This requirement may affect racial and ethnic disparities in preventive care as it provides the largest copay reduction in preventive care. We ask whether the ACA's free preventive care benefits are associated with a reduction in racial and ethnic disparities in the utilization of four preventive services: cholesterol screenings, colonoscopies, mammograms, and Pap smears. We use a data set of over 6000 individuals from the 2009, 2010, and 2013 Medical Expenditure Panel Surveys (MEPS). We restrict our data set only to individuals who are old enough to be eligible for each preventive service. Our difference-in-differences logistic regression model classifies privately insured Hispanics, African Americans, and Asians as the treatment groups and 2013 as the after-policy year. Our control group consists of non-Hispanic whites on Medicaid as this program already covered preventive care services for free or at a low cost before the ACA. After controlling for income, educati...Continue Reading

References

Oct 24, 2003·Preventive Medicine·Usha Sambamoorthi, Donna D McAlpine
Dec 23, 2003·Journal of General Internal Medicine·Mita Sanghavi GoelRussell S Phillips
Mar 11, 2004·JAMA : the Journal of the American Medical Association·Ali H MokdadJulie L Gerberding
Mar 23, 2006·Family & Community Health·Molly L AldridgeAnne Marie Jukic
Feb 14, 2007·Archives of Internal Medicine·Ashwin N AnanthakrishnanJoan M Neuner
Jan 30, 2009·Journal of the American Geriatrics Society·Joshua J FentonLaura-Mae Baldwin
Apr 24, 2015·American Journal of Public Health·Mary K Hamman, Kandice A Kapinos

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Citations

May 22, 2020·Health Affairs·Kristen M J AzarAlice R Pressman
Oct 5, 2021·JAMA Network Open·Sanjay SheteUNKNOWN Rural Workgroup of the Population Health Assessment in Cancer Center Catchment Areas Initiative
Dec 17, 2021·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Blake T McGeeWilliam S Custer

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