ArticleHealth services research2018
Racial/Ethnic Differential Effects of Medicaid Expansion on Health Care Access.
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 62 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
62 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Factors affecting women's access to primary care in the United States since the Affordable Care Act: A mixed-methods systematic review.PloS one · 2024Pooled it
- [Age at diagnosis of Autism Spectrum Disorder depending on ethno-cultural background or migratory status: A systematic literature review].L'Encephale · 2021Pooled it
- Who Pays, Who Gains? ACA Medicaid Expansions and Changes in Net Income and Tax Liability by Socioeconomic Status.Health services research · 2026Article
- Health access and prevention under Arkansas' market-based Medicaid expansion.Health affairs scholar · 2026Article
- Where We Are, Where We Are Going: North Carolina Medicaid in 2025.North Carolina medical journal · 2025Article
- Impact of Environmental Quality on Pancreatic Cancer Outcomes Post Pancreatoduodenectomy: A Retrospective Cohort Study.Journal of gastrointestinal cancer · 2025Article
- Medicaid expansion increased income among newly eligible adults.Health affairs scholar · 2025Article
- The uneven impact of Medicaid expansion on rural and urban Black, Latino/a, and White mortality.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Impact of the Affordable Care Act on access to accredited facilities for cancer treatment.Health services research · 2024Article
- Factors impacting vaccine uptake among adult Medicaid beneficiaries: a systematic literature review.Health affairs scholar · 2024Review
- Age and racial and ethnic disparities in filled buprenorphine prescriptions post-emergency department visit in Nevada.Journal of the American College of Emergency Physicians open · 2024Article
- Impact of Medicaid expansion on kidney transplantation in the State Oklahoma.World journal of transplantation · 2024Article
- Medicaid Expansion and Preventable Emergency Department Use by Race/Ethnicity.American journal of preventive medicine · 2024Article
- The Impact of Medicaid Expansion Under the Affordable Care Act on the Gap Between American Indians and Whites in Breast Cancer Management and Prognosis.Clinical breast cancer · 2024Article
- Impacts of the Affordable Care Act Medicaid Expansion on Mental Health Treatment Among Low-income Adults Across Racial/Ethnic Subgroups, 2010-2017.The journal of behavioral health services & research · 2024Article
- Association of the affordable care act with racial and ethnic disparities in uninsured emergency department utilization.BMC health services research · 2023Article
- The Intersection of State-Level Immigrant Policy Climates and Medicaid Expansion: an Examination Among Immigrants.Journal of racial and ethnic health disparities · 2023Article
- Racial and Ethnic Inequities in Financial Hardship Among CVD Patients in the USA During the Pre- and Post-Affordable Care Act Era.Journal of racial and ethnic health disparities · 2023Article
- Residence in a Medicaid-expansion state and receipt of alcohol screening and brief counseling by adults with lower incomes: Is increased access to primary care enough?Alcohol, clinical & experimental research · 2023Article
- Health Care Disparities Among Autistic LGBTQ+ People.Autism in adulthood · 2023Article
2 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess racial/ethnic differential impacts of the ACA's Medicaid expansion on low-income, nonelderly adults' access to primary care. DATA SOURCES: Behavioral Risk Factor Surveillance System, State Physicians Workforce Data Book, and Bureau of Labor Statistics, in 2013 and 2015. STUDY
designQuasi-experimental design with difference-in-differences analyses. Outcomes included health insurance coverage, having personal doctor(s), being unable to see doctors because of cost, and receiving a flu shot. We tested racial/ethnic differential impacts using the "Seemingly unrelated estimation" method. Multiple imputations and survey weights were used. DATA COLLECTION/EXTRACTION
methodsLow-income, nonelderly adults were identified based on age, household income, and family size. PRINCIPAL
findingsAmong the low-income, nonelderly adults, Medicaid expansion was associated with statistically significant gains in health insurance coverage, having personal doctors, and affordability. Hispanics got the fewest benefits, which significantly widened racial/ethnic disparities for the Hispanic group. Racial/ethnic disparity in having personal doctors narrowed for non-Hispanic black and non-Hispanic others, although not statistically significant.
conclusionMedicaid expansion improved access to primary care, but it had differential effects among racial/ethnic groups resulting in mixed effects on disparities. Further research is necessary to develop tailored policy tools for racial/ethnic groups.
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Registered trials
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