Evidence map›Paper›PMID 28556901›Full record

ArticleHealth services research2018

Impact of an Individual Mandate and Other Health Reforms on Dependent Coverage for Adolescents and Young Adults.

Lauren E Wisk, Jonathan A Finkelstein, Sara L Toomey, Gregory S Sawicki, Mark A Schuster, Alison A Galbraith

Abstract read
In one paragraph

Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

6 authors.

Lauren E WiskDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA.ORCID 0000-0003-2932-4140
Jonathan A FinkelsteinDepartment of Pediatrics, Harvard Medical School, Boston, MA.
Sara L ToomeyDepartment of Pediatrics, Harvard Medical School, Boston, MA.
Gregory S SawickiDepartment of Pediatrics, Harvard Medical School, Boston, MA.
Mark A SchusterDepartment of Pediatrics, Harvard Medical School, Boston, MA.
Alison A GalbraithDivision of General Pediatrics, Boston Children's Hospital, Boston, MA.ORCID 0000-0002-7309-5915

Funding

Children's Hospital Boston Center of Excellence for Quality MeasurementU18HS020513 · AHRQ · BOSTON CHILDREN'S HOSPITAL · PI SCHUSTER, MARK A. · 2011 to 2014
$7.9M
Training in Child Health Services Research and Implementation ScienceT32HS000063 · AHRQ · CHILDREN'S HOSPITAL BOSTON · PI GARABEDIAN, LAURA FADEN, WALSH, KATHLEEN ELIZABETH · 1994 to 2024
$7.6M
Mentored Career Development for Child and Family Centered Outcomes ResearchK12HS022986 · AHRQ · BOSTON CHILDREN'S HOSPITAL · PI FINKELSTEIN, JONATHAN A · 2014 to 2018
$3.8M
Improving Child Health and Healthcare through Dissemination and Implementation of Pediatric Quality Measures: Adapting the Child Clinician and Group CAHPS Survey for Pediatric Telemedicine VisitsU18HS025299 · AHRQ · BOSTON CHILDREN'S HOSPITAL · PI TOOMEY, SARA LOUISE · 2016 to 2021
$3.4M
Emerging Trends in Antibiotic Use and Their Impact on Primary Care for ChildrenK24HD060786 · NICHD · HARVARD PILGRIM HEALTH CARE, INC. · PI FINKELSTEIN, JONATHAN A · 2010 to 2014
$944k
AHRQ HHS K12 HS022986AHRQ HHS T32 HS000063AHRQ HHS U18 HS020513AHRQ HHS U18 HS025299NICHD NIH HHS K24 HD060786
6 · The paper itself

Abstract

objectiveTo determine the effect of state-level dependent coverage expansion (DCE) with and without other state health reforms on exit from dependent coverage for adolescents and young adults (AYA). DATA SOURCES: Administrative longitudinal data for 131,542 privately insured AYA in Massachusetts (DCE with other reforms) versus Maine and New Hampshire (DCE without other reforms) across three periods: prereform (1/00-12/06), poststate reform (1/07-9/10), and postfederal reform (10/10-12/12). STUDY

designA difference-in-differences estimator was used to determine the rate of exit from dependent coverage, age at exit from dependent coverage, and re-uptake of dependent coverage among AYA in states with comprehensive reforms versus DCE only. PRINCIPAL

findingsImplementation of DCE with other reforms was significantly associated with a 23 percent reduction in exit from dependent coverage among AYA compared to the reduction observed for DCE alone. Additionally, comprehensive reforms were associated with over two additional years of dependent coverage for the average AYA and a 33 percent increase in the odds of regaining dependent coverage after a prior loss.

conclusionsFindings suggest that an individual mandate and other reforms may enhance the effect of DCE in preventing loss of coverage among AYA.

Indexed as

AdolescentAge FactorsFemaleHumansInsurance CoverageInsurance, HealthLongitudinal StudiesMaleNew EnglandPatient Protection and Affordable Care ActRetrospective StudiesSocioeconomic FactorsUnited StatesYoung Adultadolescents and young adultsdependent coverageHealth reforminsurance coverage

Identifiers

PMID28556901
PMCPMC5980323

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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.