The Affordable Care Act and Access to Care for Reproductive-Aged and Pregnant Women in the United States, 2010-2016.

American Journal of Public Health
Jamie R Daw, Benjamin D Sommers

Abstract

To estimate the association between the Affordable Care Act (ACA), health insurance coverage, and access to care among reproductive-aged and pregnant women. We performed an observational study comparing current insurance type, cost-related barriers to medical care, and no usual source of care among reproductive-aged (n = 128 352) and pregnant (n = 2179) female respondents to the National Health Interview Survey in the United States, before (2010-2013) and after (2015-2016) the ACA coverage expansions. Among reproductive-aged women, the ACA was associated with a 7.4 percentage-point decrease in the probability of uninsurance (95% confidence interval [CI] = -8.6, -6.2), a 3.6 percentage-point increase in Medicaid (95% CI = 2.5, 4.7), and a 3.1 percentage-point increase in nongroup private coverage (95% CI = 2.1, 4.1). The ACA was also associated with a 1.5 percentage-point decline in cost-related barriers to medical care (95% CI = -2.6, -0.5) and a 2.4 percentage-point reduction in lacking a usual source of care (95% CI = -4.5, -0.3). We did not find significant changes in insurance or cost-related barriers to care for pregnant women. The ACA was associated with expanded insurance coverage and improvements in access to care for w...Continue Reading

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Citations

Mar 27, 2019·Journal of Sex & Marital Therapy·Maryam SahraeianFahimeh Ramezani Tehrani
Oct 11, 2019·Obstetrics and Gynecology·Mark A ClappJamie R Daw
Oct 31, 2019·Journal of the American Geriatrics Society·Brandy J Lipton
Mar 19, 2020·Journal of Health Politics, Policy and Law·Stacey McMorrowJohn Holahan
Dec 12, 2020·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Lucy ChenHaiden A Huskamp
Apr 28, 2021·Health Services Research·Caroline K GeigerJessica L Cohen
Jun 29, 2021·SSM - Population Health·Nicholas C CoombsSophia R Newcomer
Oct 30, 2021·JAMA Network Open·Kathryn TaylorMichelle H Moniz
Apr 17, 2020·Pediatrics·Emily M JohnstonGenevieve M Kenney
Dec 11, 2021·Pharmacoepidemiology and Drug Safety·Jennifer M TothSujith Ramachandran

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