Evidence map›Paper›PMID 29148321›Full record

ReviewMedical care research and review : MCRR2018

Impact of the Affordable Care Act's Dependent Coverage Expansion on the Health Care and Health Status of Young Adults: What Do We Know So Far?

Joshua Breslau, Bradley D Stein, Bing Han, Shoshanna Shelton, Hao Yu

Abstract readReview
In one paragraph

Review in Medical care research and review : MCRR, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
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  5. Article
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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

5 authors.

Joshua Breslau1 RAND Corporation, Pittsburgh, PA, USA.
Bradley D Stein1 RAND Corporation, Pittsburgh, PA, USA.
Bing Han1 RAND Corporation, Pittsburgh, PA, USA.
Shoshanna Shelton1 RAND Corporation, Pittsburgh, PA, USA.
Hao Yu1 RAND Corporation, Pittsburgh, PA, USA.

Funding

Policy Impacts on Behavioral Health Care DisparitiesR01MD010274 · NIMHD · RAND CORPORATION · PI BRESLAU, JOSHUA A · 2015 to 2019
$3.0M
NIMHD NIH HHS R01 MD010274
6 · The paper itself

Abstract

The dependent coverage expansion (DCE), a component of the Affordable Care Act, required private health insurance policies that cover dependents to offer coverage for policyholders' children through age 25. This review summarizes peer-reviewed research on the impact of the DCE on the chain of consequences through which it could affect public health. Specifically, we examine the impact of the DCE on insurance coverage, access to care, utilization of care, and health status. All studies find that the DCE increased insurance coverage, but evidence regarding downstream impacts is inconsistent. There is evidence that the DCE reduced high out-of-pocket expenditures and frequent emergency room visits and increased behavioral health treatment. Evidence regarding the impact of the DCE on health is sparse but suggestive of positive impacts on self-rated health and health behavior. Inferences regarding the public health impact of the DCE await studies with greater methodological diversity and longer follow-up periods.

Indexed as

AdultDelivery of Health CareFemaleHealth ExpendituresHealth StatusHumansInsurance CoverageInsurance, HealthMalePatient Protection and Affordable Care ActUnited StatesYoung Adultdependent coverage expansionhealth insurancePatient Protection and Affordable Care Actpublic health impactsyoung adults

Identifiers

PMID29148321
PMCPMC5696114

What OpenQuestion holds

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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.