Journal article
Effects of the Affordable Care Act Insurance Expansions on Health Care Coverage, Access, and Health Status of 50-64-Year-Old Adults: Evidence From the First Six Years
Journal of applied gerontology, Vol.42(8), pp.1717-1726
08/2023
DOI: 10.1177/07334648231170166
PMID: 37070609
Abstract
Individuals aged 50-64 face a higher burden of chronic conditions and an increased probability of insurance coverage loss, making them particularly vulnerable to limited access than younger adults. This study examines the effects of the Affordable Care Act (ACA) insurance expansions, including both Medicaid eligibility and other expansions, on health care coverage, access, and health status of adults aged 50-64 years over 6 years since the initial expansions in 2014. Using a triple difference-in-difference-in-differences model and nationally representative data, we find that the ACA increased private insurance and Medicaid coverage. There is evidence of improved access based on having a personal provider, completing a routine checkup, and reducing forgoing medical care due to cost. There is little evidence for the effects on self-reported health outcomes. Findings suggest that coverage expansions have improved access to care but have thus far not had discernible and consistent effects on self-reported health for 50-64-year-olds.
Details
- Title: Subtitle
- Effects of the Affordable Care Act Insurance Expansions on Health Care Coverage, Access, and Health Status of 50-64-Year-Old Adults: Evidence From the First Six Years
- Creators
- Redwan Bin Abdul Baten - University of North Carolina at CharlotteGeorge L Wehby - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of applied gerontology, Vol.42(8), pp.1717-1726
- DOI
- 10.1177/07334648231170166
- PMID
- 37070609
- ISSN
- 0733-4648
- eISSN
- 1552-4523
- Language
- English
- Electronic publication date
- 04/18/2023
- Date published
- 08/2023
- Academic Unit
- Preventive and Community Dentistry; Health Management and Policy; Economics; Public Policy Center (Archive)
- Record Identifier
- 9984398349102771
Metrics
12 Record Views