Evidence map›Paper›PMID 27196653›Full record

ArticleAmerican journal of public health2016

Effect of the Affordable Care Act on Racial and Ethnic Disparities in Health Insurance Coverage.

Thomas C Buchmueller, Zachary M Levinson, Helen G Levy, Barbara L Wolfe

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 172 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
172citing papers in PubMed, 1 pooled it
–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

172 citing papers in PubMed, 1 synthesis or guideline pooled it.

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112 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Thomas C BuchmuellerThomas C. Buchmueller is with Ross School of Business, University of Michigan, Ann Arbor. Zachary M. Levinson is with the Departments of Economics and Health Management and Policy, University of Michigan. Helen G. Levy is with the Institute for Social Research, University of Michigan. Barbara L. Wolfe is with the Department of Economics and Lafollette School of Public Policy, University of Wisconsin, Madison.
Zachary M LevinsonThomas C. Buchmueller is with Ross School of Business, University of Michigan, Ann Arbor. Zachary M. Levinson is with the Departments of Economics and Health Management and Policy, University of Michigan. Helen G. Levy is with the Institute for Social Research, University of Michigan. Barbara L. Wolfe is with the Department of Economics and Lafollette School of Public Policy, University of Wisconsin, Madison.
Helen G LevyThomas C. Buchmueller is with Ross School of Business, University of Michigan, Ann Arbor. Zachary M. Levinson is with the Departments of Economics and Health Management and Policy, University of Michigan. Helen G. Levy is with the Institute for Social Research, University of Michigan. Barbara L. Wolfe is with the Department of Economics and Lafollette School of Public Policy, University of Wisconsin, Madison.
Barbara L WolfeThomas C. Buchmueller is with Ross School of Business, University of Michigan, Ann Arbor. Zachary M. Levinson is with the Departments of Economics and Health Management and Policy, University of Michigan. Helen G. Levy is with the Institute for Social Research, University of Michigan. Barbara L. Wolfe is with the Department of Economics and Lafollette School of Public Policy, University of Wisconsin, Madison.

Funding

Statistical Data Enclave CoreP30AG017266 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Michal Engelman · 1999 to 2026
$17.0M
Health Literacy and Health Disparities Among the ElderlyK01AG034232 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LEVY, HELEN G · 2010 to 2015
$541k
NIA NIH HHS K01 AG034232
6 · The paper itself

Abstract

objectivesTo document how health insurance coverage changed for White, Black, and Hispanic adults after the Affordable Care Act (ACA) went into effect.

methodsWe used data from the American Community Survey from 2008 to 2014 to examine changes in the percentage of nonelderly adults who were uninsured, covered by Medicaid, or covered by private health insurance. In addition to presenting overall trends by race/ethnicity, we stratified the analysis by income group and state Medicaid expansion status.

resultsIn 2013, 40.5% of Hispanics and 25.8% of Blacks were uninsured, compared with 14.8% of Whites. We found a larger gap in private insurance, which was partially offset by higher rates of public coverage among Blacks and Hispanics. After the main ACA provisions went into effect in 2014, coverage disparities declined slightly as the percentage of adults who were uninsured decreased by 7.1 percentage points for Hispanics, 5.1 percentage points for Blacks, and 3 percentage points for Whites. Coverage gains were greater in states that expanded Medicaid programs.

conclusionsThe ACA has reduced racial/ethnic disparities in coverage, although substantial disparities remain. Further increases in coverage will require Medicaid expansion by more states and improved program take-up in states that have already done so.

Indexed as

AdultEthnicityFemaleHealthcare DisparitiesHealth Services AccessibilityHumansIncomeInsurance CoverageInsurance, HealthMaleMedicaidMedically UninsuredMiddle AgedPatient Protection and Affordable Care ActRacial GroupsUnited States

Identifiers

PMID27196653
PMCPMC4940635

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.