ArticleInquiry : a journal of medical care organization, provision and financing
Disparities in Insurance Coverage, Health Services Use, and Access Following Implementation of the Affordable Care Act: A Comparison of Disabled and Nondisabled Working-Age Adults.
Article in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed.
- "It should have been my decision": A mixed methods investigation of contraceptive coercion among U.S. patients with and without disabilities.Social science & medicine (1982) · 2026Article
- Facilitating Communication With Children and Young Adults With Special Health Care Needs Through a Web-Based Application: Qualitative Descriptive Study.JMIR pediatrics and parenting · 2026Article
- Infective Endocarditis Risk After Invasive Dental Procedures.Mayo Clinic proceedings. Innovations, quality & outcomes · 2025Article
- Insurance type and risk of dementia diagnosis after traumatic brain injury: a study of 267 473 US civilians from 2000 to 2022.BMJ open · 2025Article
- Health disparities persist for adults with developmental disabilities: NHIS insights, 1999-2018.Health affairs scholar · 2025Article
- Associations of Disability and Social Support with Cannabis Use Among Adults with Anxiety and Depressive Symptoms.Cannabis (Albuquerque, N.M.) · 2025Article
- "I'm in Hell …": Experiences of Unmet Health Care Needs Among People with Pre-Existing Disability and Long COVID.Journal of health care for the poor and underserved · 2025Article
- Exploring sociodemographic disparities in diagnostic problems and mistakes in the quest for diagnostic equity: insights from a national survey of patient experiences.Frontiers in public health · 2025Article
- The impact of insurance status on psoriasis patients' healthcare-seeking behavior: a population-based study in the United States.BMC health services research · 2024Article
- Structural ableism in public health and healthcare: a definition and conceptual framework.Lancet regional health. Americas · 2024Review
- Health equity for persons with disabilities: a global scoping review on barriers and interventions in healthcare services.International journal for equity in health · 2023Article
- Access to Reproductive Health Services Among People With Disabilities.JAMA network open · 2023Article
- Self-Reported Barriers to Care Among Sexual and Gender Minority People With Disabilities: Findings From The PRIDE Study, 2019-2020.American journal of public health · 2023Article
- The Impact of Visual Impairment on Healthcare Use among Four Medical Institution Types: A Nationwide Retrospective Cohort Study in Korea.Yonsei medical journal · 2023Article
- Medicaid expansion and health care access for individuals with obesity in the United States.Obesity (Silver Spring, Md.) · 2022Article
- Effect of the Affordable Care Act on healthcare utilization for Veterans with spinal cord injuries and disorders.The journal of spinal cord medicine · 2022Article
- Developing a Multilevel Scale to Assess Retention of Workers with Disabilities.Journal of occupational rehabilitation · 2022Article
- Digital Health Paradox: International Policy Perspectives to Address Increased Health Inequalities for People Living With Disabilities.Journal of medical Internet research · 2022Article
- Healthcare Access and Utilization for Young Adults With Disability: U.S., 2014-2018.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022Article
- Disability and COVID-19: Impact on Workers, Intersectionality With Race, and Inclusion Strategies.The Career development quarterly · 2021Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The objective of this study was to assess trends in health insurance coverage, health service utilization, and health care access among working-age adults with and without disabilities before and after full implementation of the Affordable Care Act (ACA), and to identify current disability-based disparities following full implementation of the ACA. The ACA was expected to have a disproportionate impact on working-age adults with disabilities, because of their high health care usage as well as their previously limited insurance options. However, most published research on this population does not systematically look at effects before and after full implementation of the ACA. As the US Congress considers new health policy reforms, current and accurate data on this vulnerable population are essential. Weighted estimates, trend analyses and analytic models were conducted using the 1998-2016 National Health Interview Surveys (NHIS) and the 2014 Medical Expenditure Panel Survey. Compared with working-age adults without disabilities, those with disabilities are less likely to work, more likely to earn below the federal poverty level, and more likely to use public insurance. Average health costs for this population are 3 to 7 times higher, and access problems are far more common. Repeal of key features of the ACA, like Medicaid expansion and marketplace subsidies, would likely diminish health care access for working-age adults with disabilities.
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