Effects of the Affordable Care Act's Dependent Coverage Mandate on Private Health Insurance Coverage in Urban and Rural Areas

Look, Kevin A.; Kim, Nam Hyo; Arora, Prachi

doi:10.1111/jrh.12183

Cited by 16 publications

(9 citation statements)

References 18 publications

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“…I next explore whether the effects of the provision on fertility vary by metropolitan status since rural families have historically faced higher rates of uninsurance rates than urban families (Ziller et al 2008), estimating the analysis separately for individuals living in a metropolitan statistical area (urban) and those living outside a metropolitan statistical area (rural), with results presented subsequently in Table 4. Results of these analyses show significant decreases in fertility rates across metropolitan status, which are consistent with the findings of Look et al (2016) that did not find differential effects of the young adult provision on health insurance coverage by metropolitan status.…”

Section: Fertilitysupporting

confidence: 84%

Planning parenthood: the Affordable Care Act young adult provision and pathways to fertility

Abramowitz

2017

J Popul Econ

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This paper investigates the effect of the Affordable Care Act young adult provision on fertility and related outcomes. The expected effect of the provision on fertility is not clear ex ante. By expanding insurance coverage to young adults, the provision may affect fertility directly through expanded options for obtaining contraceptives as well as through expanded options for obtaining pregnancy-, birth-, and infant-related care, and these may lead to decreased or increased fertility, respectively. In addition, the provision may also affect fertility indirectly through marriage or labor markets, and the direction and magnitude of these effects is difficult to determine. This paper considers the effect of the provision on fertility as well as the contributing channels by applying difference-in-differences-type methods using the 2008-Results suggest that the provision is associated with decreases in the likelihood of having given birth and abortion rates and an increase in the likelihood of using long-term hormonal contraceptives.

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Section: Fertilitysupporting

confidence: 84%

Planning parenthood: the Affordable Care Act young adult provision and pathways to fertility

Abramowitz

2017

J Popul Econ

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“…One of their key findings was increased utilization of preventive care, which may indicate the expansion improved unmet demand for care among the newly eligible beneficiaries from rural settings. In another study focusing on the dependent coverage mandate, Look et al examined 2006‐2009 (premandate) and 2011 (postmandate) data from the Medical Expenditure Panel Survey to examine changes in coverage patterns among rural and urban young adults. Coverage uptake was similar across both urban and rural settings through the first year of the mandate, and much of the prevailing gap in coverage between urban and rural young adults was largely erased.…”

mentioning

confidence: 99%

US Health Care Reform and Rural America: Results From the ACA's Medicaid Expansions

Benitez

Seiber²

2017

The Journal of Rural Health

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“…Previous research indicates that access to and the use of health services are associated with the patients' likelihood for readmission; therefore, these factors will help explain some of the HRR-level variations in hospital readmission rates [16]. Additionally, we examined the impact of the Accountable Care Act of 2010 (ACA)measured through the total performance score on hospitals 30-day readmission [5,31]. We defined the health system by the structure of health-care facilities, such as size, location, teaching status, and ownership.…”

Section: Frameworkmentioning

confidence: 99%

Impact of hospitals’ Referral Region racial and ethnic diversity on 30-day readmission rates of older adults

Hamadi

Moody

Apatu

et al. 2019

Journal of Community Hospital Internal Medicine Perspectives

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Background: The Hospital Readmissions Reduction Program (HRRP) began decreasing Medicare payments to hospitals reporting high readmission rates for individuals over 65. Thus, financially incentivizing hospitals to improve quality performance on preventable readmissions. Well-established research indicates that minorities are more frequently readmitted to hospitals, but it is unknown if community diversity is associated with 30-day readmission rates. Objectives: To investigate the association between racial/ethnic diversity and hospitals' 30day readmission rates. Methods: We linked the 2017 HRRP, American Hospital Association (AHA) database, Area Health Resource File, US Census Bureau Current Population Survey, and the Dartmouth Atlas HRR dataset to examine 30-day readmission rate for heart failure (HF), pneumonia (PN), acute myocardial infarction (AMI), and hip replacement (HR) surgery of 4,299 hospitals across 306 HRRs. Results: Our findings indicate a statistically significant negative relationship between diversity and 30-day readmission rates for HF, PN, AMI, and HR with a hospital referral region (HRR). Thus, hospitals located in HRRs with diverse populations are more likely to have higher 30day readmission rates for all conditions under Medicare's HRRP Conclusion: Better discharge follow-up, interventions, and use of support staff aimed at meeting needs associated with differences in communities and cultures are likely to prove more fruitful than traditional one-size fits all approaches to care.

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Effects of the Affordable Care Act's Dependent Coverage Mandate on Private Health Insurance Coverage in Urban and Rural Areas

Cited by 16 publications

References 18 publications

Planning parenthood: the Affordable Care Act young adult provision and pathways to fertility

Planning parenthood: the Affordable Care Act young adult provision and pathways to fertility

US Health Care Reform and Rural America: Results From the ACA's Medicaid Expansions

Impact of hospitals’ Referral Region racial and ethnic diversity on 30-day readmission rates of older adults

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