Evidence map›Paper›PMID 27604909›Full record

ArticleHealth services research2017

Reducing Young Adults' Health Care Spending through the ACA Expansion of Dependent Coverage.

Jie Chen, Arturo Vargas-Bustamante, Priscilla Novak

Abstract read
In one paragraph

Article in Health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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
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 ChenDepartment of Health Services and Administration, School of Public Health, University of Maryland-College Park, College Park, MD.
Arturo Vargas-BustamanteDepartment of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, CA.
Priscilla NovakDepartment of Health Services and Administration, School of Public Health, University of Maryland-College Park, College Park, MD.

Funding

PATIENTS: PATient-centered Involvement in Evaluating effectivNess of TreatmentR24HS022135 · AHRQ · UNIVERSITY OF MARYLAND BALTIMORE · PI MULLINS, C. DANIEL · 2013 to 2017
$4.9M
Effect of Local Health Departments on Health Care Disparities for Individuals with Mental Health DisordersR21MH106813 · NIMH · UNIV OF MARYLAND, COLLEGE PARK · PI CHEN, JIE · 2016 to 2017
$423k
AHRQ HHS R24 HS022135NIMH NIH HHS R21 MH106813
6 · The paper itself

Abstract

objectiveTo estimate health care expenditure trends among young adults ages 19-25 before and after the 2010 implementation of the Affordable Care Act (ACA) provision that extended eligibility for dependent private health insurance coverage. DATA SOURCES: Nationally representative Medical Expenditure Panel Survey data from 2008 to 2012. STUDY

designWe conducted repeated cross-sectional analyses and employed a difference-in-differences quantile regression model to estimate health care expenditure trends among young adults ages 19-25 (the treatment group) and ages 27-29 (the control group). PRINCIPAL

findingsOur results show that the treatment group had 14 percent lower overall health care expenditures and 21 percent lower out-of-pocket payments compared with the control group in 2011-2012. The overall reduction in health care expenditures among young adults ages 19-25 in years 2011-2012 was more significant at the higher end of the health care expenditure distribution. Young adults ages 19-25 had significantly higher emergency department costs at the 10th percentile in 2011-2012. Differences in the trends of costs of private health insurance and doctor visits are not statistically significant.

conclusionsIncreased health insurance enrollment as a consequence of the ACA provision for dependent coverage has successfully reduced spending and catastrophic expenditures, providing financial protections for young adults.

Indexed as

AdultCross-Sectional StudiesFinancing, PersonalHealth ExpendituresHumansInsurance CoverageInsurance, HealthPatient Protection and Affordable Care ActSocioeconomic FactorsUnited StatesYoung AdultHealth care expendituresthe Affordable Care Actyoung adults

Identifiers

PMID27604909
PMCPMC5583298

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.