ArticleAmerican journal of health economics2022
INFORMATION GAPS AND HEALTH INSURANCE ENROLLMENT: Evidence from the Affordable Care Act Navigator Programs.
Article in American journal of health economics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 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
12 citing papers in PubMed.
- Implementation of Health Insurance Navigation for Racial/Ethnic Minority Men Who Have Sex With Men Presenting for Community-Based HIV Testing.Journal of acquired immune deficiency syndromes (1999) · 2026Trial
- Mental Health in Regularly Collected Nationally Representative U.S. Surveys: What's Measured and What's Missing?Administration and policy in mental health · 2026Article
- Optimizing consumer choice in selection of health insurance.Health affairs scholar · 2026Article
- The role of nonfinancial factors in the Congressional Budget Office's health insurance coverage projections.Proceedings of the National Academy of Sciences of the United States of America · 2026Article
- Enrollment Assister Perspectives of a Private Health Insurance Program for Undocumented Immigrants.JAMA health forum · 2026Article
- Changes in Heart Transplant Listings by Insurance and Race During the COVID Public Health Emergency.Circulation. Heart failure · 2025Observational
- Development of a Navigator-Delivered Health Insurance Education Program for Hispanic and Latine Communities.Health education & behavior : the official publication of the Society for Public Health Education · 2025Article
- Safety Net Program Participation Patterns, Sociodemographic Factors, and Health.American journal of preventive medicine · 2025Article
- Health Characteristics of Adults Unable to Complete Medicaid Renewal During the Unwinding Period.JAMA health forum · 2025Article
- Enhancing Trust During Complex Health Care Transformation.North Carolina medical journal · 2023Article
- Association of Funding Cuts to the Patient Protection and Affordable Care Act Navigator Program With Privately Sponsored Television Advertising.JAMA network open · 2022Article
- Changes to ACA Individual Insurance Markets After States Leave Healthcare.gov 2016-2023.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
We studied the impact of Affordable Care Act navigator programs on health insurance coverage, using the 80 percent cut in program funding under the Trump administration as a natural experiment. Our study design exploited county-level differences in the program prior to funding cuts. We did not find that cuts to the program significantly decreased rates of marketplace coverage or any health insurance coverage by 2019; however, our estimates could not rule out marketplace coverage declines of up to 2.7 percent (point estimate -1.3 percent, 95 percent CI: 2.7 percent to 0.1 percent), or total coverage declines of up to 1.8 percentage points (point estimate -0.8 percentage points or -1.2 percent, 95 percent CI: -1.8 to 0.2). Cuts to the navigator program significantly decreased marketplace coverage and total coverage among lower-income adults, and significantly decreased total coverage among adults under age 45, Hispanic adults, and adults who speak a language other than English at home. We found no significant impact of the cuts on Medicaid enrollment (95 percent CI: -1.9 percentage points to 0.5 percentage points); most uninsured people in the states we studied lived in locations that had not implemented Medicaid eligibility expansions. These findings suggest that before the funding cuts, navigators were helping underserved consumers obtain coverage.
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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.