ArticleHealth services research2019
The three-year impact of the Affordable Care Act on disparities in insurance coverage.
Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
40 citing papers in PubMed, 1 synthesis or guideline 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
- Get Health'e': A Pilot Test of a Digital Health Literacy Intervention for Young Adults.Health literacy research and practice · 2024Trial
- The impact of Medicaid expansion on coverage among those lacking housing basics, 2010-2019.Health affairs scholar · 2026Article
- Overcoming zero-sum thinking to advance US population health.Nature medicine · 2025Article
- Trends and disparities in health status and health care in the United States during COVID-19 pandemic.BMC medicine · 2025Article
- Medicaid Expansion and County-Level Suicide: Disparities Based on Rurality and Mental Health Provider Shortages.Psychiatric services (Washington, D.C.) · 2025Article
- Who Enrolls in Coverage and Who Remains Uninsured? Medicaid Take-Up Before and After the Affordable Care Act and During Unwinding.The Milbank quarterly · 2025Article
- Health Insurance Coverage Changes Under the Affordable Care Act Among High Housing Cost Households, 2010-18.Health economics · 2025Article
- A mixed method study of menstrual health in Spain: pain, disorders, and the journey for health.Frontiers in public health · 2025Article
- Effects of Affordable Care Act on uninsured hospitalization: Evidence from Texas.Health services research · 2024Article
- Hospitalisation and mortality among privately insured individuals with COVID-19 in the United States: The role of intellectual disabilities and Neurogenetic disorders.Journal of intellectual disability research : JIDR · 2024Article
- The impact of COVID-19 on healthcare coverage and access in racial and ethnic minority populations in the United States.Geospatial health · 2023Article
- Eliminating health care inequities through strengthening access to care.Health services research · 2023Article
- Differences in medicaid expansion effects on buprenorphine treatment utilization by county rurality and income: A pharmacy data claims analysis from 2009-2018.Drug and alcohol dependence reports · 2023Article
- Association of the affordable care act with racial and ethnic disparities in uninsured emergency department utilization.BMC health services research · 2023Article
- Finding fraud: enforcement, detection, and recoveries after the ACA.International journal of health economics and management · 2023Article
- The effects of the American Rescue Plan Act on racial equity in health insurance coverage.Health services research · 2023Article
- Impact of state Medicaid expansion on cross-sector health and social service networks: Evidence from a longitudinal cohort study.Health services research · 2023Article
- Racial and Ethnic Disparities in Health Insurance Coverage in the USA: Findings from the 2018 National Health Interview Survey.Journal of racial and ethnic health disparities · 2023Article
- Racial and Ethnic Disparities in Health Care Access and Utilization among Medicaid Managed Care Beneficiaries.The journal of behavioral health services & research · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo estimate the impact of the major components of the ACA (Medicaid expansion, subsidized Marketplace plans, and insurance market reforms) on disparities in insurance coverage after three years. DATA SOURCE: The 2011-2016 waves of the American Community Survey (ACS), with the sample restricted to nonelderly adults.
designWe estimate a difference-in-difference-in-differences model to separately identify the effects of the nationwide and Medicaid expansion portions of the ACA using the methodology developed in the recent ACA literature. The differences come from time, state Medicaid expansion status, and local area pre-ACA uninsured rates. In order to focus on access disparities, we stratify our sample separately by income, race/ethnicity, marital status, age, gender, and geography. PRINCIPAL
findingsAfter three years, the fully implemented ACA eliminated 43% of the coverage gap across income groups, with the Medicaid expansion accounting for this entire reduction. The ACA also reduced coverage disparities across racial groups by 23%, across marital status by 46%, and across age-groups by 36%, with these changes being partly attributable to both the Medicaid expansion and nationwide components of the law.
conclusionsThe fully implemented ACA has been successful in reducing coverage disparities across multiple groups.
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