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The Affordable Care Act and Access to Care for People Changing Coverage Sources

Bibliographic Data

ID11025169
AuthorsCara Orfield (0000-0002-3137-9864, Cara Orfield, Lauren Hula, and Michael Barna are with Mathematica Policy Research, Ann Arbor, MI. Sheila Hoag is with Mathematica Policy Research, Princeton, NJ.), Lauren Hula (Cara Orfield, Lauren Hula, and Michael Barna are with Mathematica Policy Research, Ann Arbor, MI. Sheila Hoag is with Mathematica Policy Research, Princeton, NJ.), Michael Barna (Cara Orfield, Lauren Hula, and Michael Barna are with Mathematica Policy Research, Ann Arbor, MI. Sheila Hoag is with Mathematica Policy Research, Princeton, NJ.), Sheila Hoag (0000-0001-5998-6431, Cara Orfield, Lauren Hula, and Michael Barna are with Mathematica Policy Research, Ann Arbor, MI. Sheila Hoag is with Mathematica Policy Research, Princeton, NJ.)
Year2015
Volume105
IssueS5
PagesS651-S657
Publication date2015-11-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2015.302867
PMID26447919
OpenAlexW1893392267
LanguageEN
Citations received2
References cited8

Objectives. We investigated how access to and continuity of care might be affected by transitions between health insurance coverage sources, including the Marketplace (also called the Exchange), Medicaid, and the Children’s Health Insurance Program (CHIP). Methods. From January to February 2014 and from August to September 2014, we searched provider directories for networks of primary care physicians and selected pediatric specialists participating in Marketplace, Medicaid, and CHIP in 6 market areas of the United States and calculated the degree to which networks overlapped. Results. Networks of physicians in Medicaid and CHIP were nearly identical, meaning transitions between those programs may not result in much physician disruption. This was not the case for Marketplace and Medicaid and CHIP networks. Conclusions. Transitions from the Marketplace to Medicaid or CHIP may result in different degrees of physician disruption for consumers depending on where they live and what type of Marketplace product they purchase

Business · Family medicine · Health care · Health insurance · Medicaid · Patient Protection and Affordable Care Act · Political science · Product (mathematics) · Healthcare cost, quality, practices · Healthcare Policy and Management · Law · Medicine · Primary Care and Health Outcomes

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    Sarah H Gordon, Benjamin D Sommers et al.•Medical Care•2019

Citations per year0.18
Citation span2015 - 2019 (5)
Highly citedNo

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