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The Affordable Care Act and Racial Disparities in Healthcare Utilization

New Evidence From Employer Mandate

Bibliographic Data

ID10429665
AuthorsAhmad Reshad Osmani (0000-0003-3327-1889, Department of Economics and Finance, Louisiana State University (LSU) Shreveport, Shreveport, LA, USA, corresponding author), Md Mohsan Khudri (0000-0003-4960-2259, Department of Economics, Fogelman College of Business and Economics, The University of Memphis, Memphis, USA)
Year2024
Volume52
Issue2
Pages143-169
Publication date2024-03-18
Open AccessYes
TypeARTICLE
VenueThe Review of Black Political Economy (JOURNAL)
Journal identifiersISSN: 0034-6446 • E-ISSN: 1936-4814
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/00346446241239657
OpenAlexW4392965129
LanguageEN
References cited45

The 2010 United States Affordable Care Act (ACA) mandates small and mid-size firms to provide health insurance for full-time workers. This study investigates whether a key provision of the ACA employer mandate has reduced racial disparities in health services use among uterine cancer (UC) survivors. Employing a nationally representative Medical Expenditure Panel Survey (MEPS) data from 2008 to 2017 and the Difference-in-Differences empirical model, we find that the ACA employer mandate increases the utilization of pap smear tests among all groups of UC survivors. Additionally, our results suggest a rise in physician's office visits among non-Hispanic Black and Hispanic UC survivors driven by the announcement of the employer mandate in the post-ACA period. Our results further suggest a reduction in out-of-pocket prescription drug expenditure among UC survivors of racial and ethnic minorities. Study findings have implications for improving ethnic minority female population health outcomes

Business · Economic growth · Economics · Health care · Health equity · Health insurance · Mandate · Patient Protection and Affordable Care Act · Political science · Public economics · Global Health Care Issues · Health Services Management and Policy · Healthcare Policy and Management · Law · Public Administration

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