Impact of the Affordable Care Act's Dependent Coverage Expansion on the Health Care and Health Status of Young Adults: What Do We Know So Far?

被引：22

作者：

Breslau, Joshua ^{[1
]}

Stein, Bradley D. ^{[1
]}

Han, Bing ^{[1
]}

Shelton, Shoshanna ^{[1
]}

Yu, Hao ^{[1
]}

机构：

[1] RAND Corp, 4570 Fifth Ave,Suite 600, Pittsburgh, PA 15217 USA

来源：

MEDICAL CARE RESEARCH AND REVIEW | 2018年 / 75卷 / 02期

关键词：

dependent coverage expansion; Patient Protection and Affordable Care Act; young adults; health insurance; public health impacts; COMORBIDITY SURVEY REPLICATION; INSURANCE-COVERAGE; PATIENT PROTECTION; CLINICAL-OUTCOMES; MENTAL-DISORDERS; PREVENTIVE CARE; MEDICAL-CARE; PROVISION; ACCESS; PREVALENCE;

D O I：

10.1177/1077558716682171

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The dependent coverage expansion (DCE), a component of the Affordable Care Act, required private health insurance policies that cover dependents to offer coverage for policyholders' children through age 25. This review summarizes peer-reviewed research on the impact of the DCE on the chain of consequences through which it could affect public health. Specifically, we examine the impact of the DCE on insurance coverage, access to care, utilization of care, and health status. All studies find that the DCE increased insurance coverage, but evidence regarding downstream impacts is inconsistent. There is evidence that the DCE reduced high out-of-pocket expenditures and frequent emergency room visits and increased behavioral health treatment. Evidence regarding the impact of the DCE on health is sparse but suggestive of positive impacts on self-rated health and health behavior. Inferences regarding the public health impact of the DCE await studies with greater methodological diversity and longer follow-up periods.

引用

页码：131 / 152

页数：22

共 45 条

[1] The ACA's Dependent Coverage Expansion and Out-of-Pocket Spending by Young Adults With Behavioral Health Conditions [J].

Ali, Mir M. ;

Chen, Jie ;

Mutter, Ryan ;

Novak, Priscilla ;

Mortensen, Karoline .

PSYCHIATRIC SERVICES, 2016, 67 (09) :977-982

[2]

[Anonymous], 2010, ECONOMETRICS

[3] Changes in Emergency Department Use Among Young Adults After the Patient Protection and Affordable Care Act's Dependent Coverage Provision [J].

Antwi, Yaa Akosa ;

Moriya, Asako S. ;

Simon, Kosali ;

Sommers, Benjamin D. .

ANNALS OF EMERGENCY MEDICINE, 2015, 65 (06) :664-672

[4] Access to health insurance and the use of inpatient medical care: Evidence from the Affordable Care Act young adult mandate [J].

Antwi, Yaa Akosa ;

Moriya, Asako S. ;

Simon, Kosali I. .

JOURNAL OF HEALTH ECONOMICS, 2015, 39 :171-187

[5] Effects of Federal Policy to Insure Young Adults: Evidence from the 2010 Affordable Care Act's Dependent-Coverage Mandate [J].

Antwi, Yaa Akosa ;

Moriya, Asako S. ;

Simon, Kosali .

AMERICAN ECONOMIC JOURNAL-ECONOMIC POLICY, 2013, 5 (04) :1-28

[6] The Oregon Experiment - Effects of Medicaid on Clinical Outcomes [J].

Baicker, Katherine ;

Taubman, Sarah L. ;

Allen, Heidi L. ;

Bernstein, Mira ;

Gruber, Jonathan H. ;

Newhouse, Joseph P. ;

Schneider, Eric C. ;

Wright, Bill J. ;

Zaslavsky, Alan M. ;

Finkelstein, Amy N. .

NEW ENGLAND JOURNAL OF MEDICINE, 2013, 368 (18) :1713-1722

[7] EMPLOYER-PROVIDED HEALTH INSURANCE AND JOB MOBILITY: DID THE AFFORDABLE CARE ACT REDUCE JOB LOCK? [J].

Bailey, James ;

Chorniy, Anna .

CONTEMPORARY ECONOMIC POLICY, 2016, 34 (01) :173-183

[8] Impacts of the Affordable Care Act dependent coverage provision on health-related outcomes of young adults [J].

Barbaresco, Silvia ;

Courtemanche, Charles J. ;

Qi, Yanling .

JOURNAL OF HEALTH ECONOMICS, 2015, 40 :54-68

[9] ACA Dependent Coverage Provision Reduced High Out-Of-Pocket Health Care Spending For Young Adults [J].

Busch, Susan H. ;

Golberstein, Ezra ;

Meara, Ellen .

HEALTH AFFAIRS, 2014, 33 (08) :1361-1366

[10]

Cantiello John, 2011, Adv Health Care Manag, V11, P185

← 1 2 3 4 5 →