Insurance Coverage of Emergency Care for Young Adults under Health Reform

Health Reform and Changes in Health Insurance Coverage in 2014

“…This means that our results do not capture effects of that provision, which has been well studied in previous research. [11][12][13][14][15][16] Similarly, our analysis does not estimate coverage gains from early Medicaid expansions that began in 2010 and 2011, which were generally much more limited than the 2014 changes. 17 Our sample excluded adults 65 years of age or older, who are overwhelmingly enrolled in Medicare and thus ineligible for the coverage expansion under the ACA.…”

Health Insurance Trends and Access to Behavioral Healthcare Among Justice-Involved Individuals—United States, 2008–2014

“…These data suggest that justice-involved individuals are gaining health insurance coverage under the ACA, but may still face barriers to care for some behavioral health conditions. The dependent coverage mandate, which expanded private health insurance to dependents ages 19-25 in September 2010, 21 was associated with a dramatic decrease in uninsurance among justice-involved individuals, due primarily to an increase in private insurance coverage. The mandate decreased uninsurance to a larger degree for justice-involved individuals compared to individuals without a history of justice involvement.…”

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

“…Starting in columns 1 and 2 of Table 4, we find that for our preferred specification there is no statistically significant effect of the law on the levels and log transformation of length of stay. We do find a statistically significant effect of the law for levels 18 and log transformation with the inclusion of patient demographics and characteristics. Those coefficients translate to 1.7-percent and 0.9-percent decreases in our levels and log specifications, respectively.…”

“…Using a nationally representative survey of young adults and an age and time period DD study design, Sommers et al (2013) find evidence that the mandate increased selfreported access to care but had no statistically significant effect on self-reported usual source of care. Mulcahy et al (2013) use a large convenience sample of claims on non-discretionary visits to the ER to evaluate the impact of the ACA young adult mandate on insurance status of ER users in a DD study design. They find that the expansion led to a 3.1-percentage-point increase in non-discretionary emergency care paid by private insurance among young adults.…”

“…We estimate negative coefficients for the enactment and implementation phases of the law for both our levels and log specifications with and without patient characteristics for length of stay. Our preferred specification is statistically significant at the [10][11][12][13][14][15][16][17][18][19] percent level for log of length of stay during the implementation period. This result is not robust but suggests a decrease in length of stay for young adults.…”