Observational studyAmerican journal of public health2018
Affordable Care Act Impact in Kentucky: Increasing Access, Reducing Disparities.
Observational study in American journal of public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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
6 citing papers in PubMed.
- Effects of Affordable Care Act on uninsured hospitalization: Evidence from Texas.Health services research · 2024Article
- A unified voice to drive global improvements in oral health.BMC global and public health · 2023Review
- Impact of the Affordable Care Act Medicaid Expansion on Reimbursement in Emergency General Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Article
- Prevalence and Treatment for Alcohol Use Disorders Based on Kentucky Medicaid 2012-2019 Datasets.Journal of alcoholism and drug dependence · 2022Article
- Impacts of insurance expansion on health cost, health access, and health behaviors: evidence from the medicaid expansion in the US.International journal of health economics and management · 2021Article
- Changes In Health Insurance Coverage, Access To Care, And Income-Based Disparities Among US Adults, 2011-17.Health affairs (Project Hope) · 2020Article
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Authors and funding
3 authors.
Funding
Abstract
objectivesTo examine health insurance disparities since Kentucky's implementation of the Affordable Care Act (ACA).
methodsUsing the American Community Survey, we estimated coverage rates by race/ethnicity before and after implementation of the ACA (2013 and 2015), and we estimated whether groups were over- or underrepresented among the uninsured, compared with their share of the state population.
resultsKentucky's uninsurance rate declined from 14.4% in 2013 to 6.1% in 2015 (P < .001). Uninsurance rates also declined for most racial/ethnic groups, including Blacks (16.7% to 5.5%; P < .001) and Whites (13.3% to 5.3%; P < .001). In 2015, Blacks were no longer overrepresented among Kentucky's uninsured, with a significant decline in the ratio of Blacks among the state uninsured population compared with their share of the state population (1.16-0.91; P = .045).
conclusionsIn Kentucky, which mounted a robust implementation of the ACA-including Medicaid expansion, a state-based marketplace, and an extensive outreach and enrollment campaign-the state experienced not only a decline in the overall uninsurance rate but also an elimination in coverage disparities among Blacks, who historically were overrepresented among the uninsured.
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Registered trials
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.