The Disparate Impact of the ACA-Dependent Expansion across Population Subgroups
The Disparate Impact of the ACA-Dependent Expansion across Population Subgroups
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DOI：
10.1111/1475-6773.12067
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发表时间：
2013-10-01
影响因子：
3.4
通讯作者：
Brault, Matthew W.
中科院分区：
文献类型：
--
作者：
O'Hara, Brett;Brault, Matthew W.
目的本研究提供了证据，证明平价医疗法案 (ACA) 中的受抚养人条款如何对各州和人口亚组的年轻人的覆盖率产生不同的影响。研究设计/方法/数据数据来自美国社区调查。我们采用双重差分设计，将目标人群（19-25 岁）与对照组（26-29 岁）进行比较。 主要发现 19-25 岁人群的网络私人健康保险覆盖率增加了 4.6 个百分点，总体覆盖率增加了 4.2 个百分点；白人的比例高于非白人亚群体。 结论和启示 各州覆盖率的变化似乎是由人口统计数据驱动的，而不是由各州之前存在的依赖扩张驱动的。医疗保健覆盖率的差距仍然存在，但覆盖率的绝对水平正在改善。
ObjectiveThis study presents evidence on how the dependent provision in the Affordable Care Act (ACA) differentially affected coverage for young adults across states and population subgroups.Study Design/Methods/DataThe data derive from the American Community Survey. Using a difference-in-difference design, we compare the target population (ages 19-25) with a control group (ages 26-29).Principal FindingsNet private health insurance coverage increased by 4.6 percentage points and overall coverage increased by 4.2 percentage points for people aged 19-25; more for Whites than non-White subgroups.Conclusions and ImplicationsChanges in coverage for states appear driven by demographics rather than the existence of prior dependent expansions by the state. Disparities in health care coverage remain, but the absolute level of coverage is improving.