Evidence map›Paper›PMID 27992730›Full record

ReviewAnnual review of public health2017

The Affordable Care Act's Impacts on Access to Insurance and Health Care for Low-Income Populations.

Gerald F Kominski, Narissa J Nonzee, Andrea Sorensen

Open access · greenAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Annual review of public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 1 pooled it
42.7field-weighted citation impact, top 1% of its field
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

95 citing papers in PubMed, 1 synthesis or guideline pooled it, 195 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  15. Medicaid expansion and overall mortality among women with cervical cancer.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
  16. Review
  17. Factors Contributing to Long-Term Medicaid Sustainment Among Burn Patients Enrolled via California's Hospital Presumptive Eligibility Program.Journal of burn care & research : official publication of the American Burn Association · 2025
    Article
  18. Article
  19. Article
  20. Black-White disparities across the colorectal cancer care continuum in the USA.Nature reviews. Gastroenterology & hepatology · 2025
    Review

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

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 at 1 institution in 1 country.

Gerald F KominskiDepartment of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, California 90095-1772; email: kominski@ucla.edu , nnonzee@ucla.edu , ansorensen@ucla.edu.
Narissa J NonzeeDepartment of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, California 90095-1772; email: kominski@ucla.edu , nnonzee@ucla.edu , ansorensen@ucla.edu.
Andrea SorensenDepartment of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, California 90095-1772; email: kominski@ucla.edu , nnonzee@ucla.edu , ansorensen@ucla.edu.
University of California, Los Angeles · US

Funding

NRSA Training CoreTL1TR001883 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ALEX BUI, Nina Thawata Harawa · 2016 to 2026
$8.6M
UCLA Clinical and Translational Science InstituteTL1TR000121 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$2.7M
NCATS NIH HHS TL1 TR000121NCATS NIH HHS TL1 TR001883
6 · The paper itself

Abstract

The Patient Protection and Affordable Care Act (ACA) expands access to health insurance in the United States, and, to date, an estimated 20 million previously uninsured individuals have gained coverage. Understanding the law's impact on coverage, access, utilization, and health outcomes, especially among low-income populations, is critical to informing ongoing debates about its effectiveness and implementation. Early findings indicate that there have been significant reductions in the rate of uninsurance among the poor and among those who live in Medicaid expansion states. In addition, the law has been associated with increased health care access, affordability, and use of preventive and outpatient services among low-income populations, though impacts on inpatient utilization and health outcomes have been less conclusive. Although these early findings are generally consistent with past coverage expansions, continued monitoring of these domains is essential to understand the long-term impact of the law for underserved populations.

Indexed as

Health Services AccessibilityInsurance CoverageMedicaidPatient Protection and Affordable Care ActHumansInsurance, HealthMedically UninsuredUnited Stateshealth care accesshealth insurance exchangeshealth reformMedicaid expansionpoorutilization

Identifiers

PMID27992730
PMCPMC5886019
OpenAlexW2565285554

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.