Evidence map›Paper›PMID 25905850›Full record

ArticleAmerican journal of public health2015

Health care spending and utilization by race/ethnicity under the Affordable Care Act's dependent coverage expansion.

Jie Chen, Arturo Vargas Bustamante, Sarah E Tom

Abstract read
In one paragraph

Article in American journal of public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Article
  2. Racial Concordance on Healthcare Use within Hispanic Population Subgroups.Journal of racial and ethnic health disparities · 2024
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Racial/Ethnic and County-level Disparity in Inpatient Utilization among Hawai'i Medicaid Population.Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2018
    Article
  11. Review
  12. Lower barriers to primary care after the implementation of the Affordable Care Act in the United States of America.Revista panamericana de salud publica = Pan American journal of public health · 2018
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. The ACA: Impacts on Health, Access, and Employment.Forum for health economics & policy · 2016
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Jie ChenJie Chen is with the Department of Health Services Administration, School of Public Health, University of Maryland, College Park. Arturo Vargas Bustamante is with the Department of Health Policy and Management, Fielding School of Public Health, University of California-Los Angeles. Sarah E. Tom is with the Department of Pharmaceutical Health Services Research, School of Pharmacy, University of Maryland.
Arturo Vargas Bustamante
Sarah E Tom

Funding

MARYLAND POPULATION RESEARCH CENTERR24HD041041 · NICHD · UNIV OF MARYLAND, COLLEGE PARK · PI HOFFERTH, SANDRA L · 2001 to 2016
$6.6M
NICHD NIH HHS R24 HD041041
6 · The paper itself

Abstract

objectivesWe estimated the effect of the ACA expansion of dependents' coverage on health care expenditures and utilization for young adults by race/ethnicity.

methodsWe used difference-in-difference models to estimate the impact of the ACA expansion on health care expenditures, out-of-pocket payments (OOP) as a share of total health care expenditure, and utilization among young adults aged 19 to 26 years by race/ethnicity (White, African American, Latino, and other racial/ethnic groups), with adults aged 27 to 30 years as the control group.

resultsIn 2011 and 2012, White and African American young adults aged 19 to 26 years had significantly lower total health care spending compared with the 27 to 30 years cohort. OOP, as a share of health care expenditure, remained the same after the ACA expansion for all race/ethnicity groups. Changes in utilization following the ACA expansion among all racial/ethnic groups for those aged 19 to 26 years were not significant.

conclusionsOur study showed that the impact of the ACA expansion on health care expenditures differed by race/ethnicity.

Indexed as

EthnicityHealth ExpendituresPatient Protection and Affordable Care ActRacial GroupsAdultFemaleHumansInsurance CoverageMaleUnited States

Identifiers

PMID25905850
PMCPMC4455492

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.