Affordable Care Act–dependent Insurance Coverage and Access to Care Among Young Adult Women With a Recent Live Birth
Bibliographic Data
| ID | 9104459 |
|---|---|
| Authors | Rui Li (0000-0001-9744-7965, Centers for Disease Control and Prevention), Brenda Bauman, Brenda L Bauman (Centers for Disease Control and Prevention), Denise V D’angelo (0000-0003-3418-4453, Centers for Disease Control and Prevention), Leslie L Harrison, Leslie Harrison (Centers for Disease Control and Prevention), Lee Warner (Centers for Disease Control and Prevention), Wanda D Barfield (0000-0002-5875-0475, Centers for Disease Control and Prevention), Shanna Cox (0000-0002-0377-9270, Centers for Disease Control and Prevention) |
| Year | 2019 |
| Volume | 57 |
| Issue | 2 |
| Pages | 109-114 |
| Publication date | 2019-02-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000001044 |
| PMID | 30570588 |
| OpenAlex | W2907567201 |
| Language | EN |
| Citations received | 2 |
| References cited | 16 |
BACKGROUND: The Affordable Care Act (ACA)-dependent coverage Provision (the Provision), implemented in 2010, extended family insurance coverage to adult children until age 26. OBJECTIVES: To examine the impact of the ACA Provision on insurance coverage and care among women with a recent live birth. RESEARCH DESIGN, SUBJECTS, AND OUTCOME MEASURES: We conducted a difference-in-difference analysis to assess the effect of the Provision using data from the Pregnancy Risk Assessment Monitoring System among 22,599 women aged 19-25 (treatment group) and 22,361 women aged 27-31 years (control group). Outcomes include insurance coverage in the month before and during pregnancy, and at delivery, and receipt of timely prenatal care, a postpartum check-up, and postpartum contraceptive use. RESULTS: Compared with the control group, the Provision was associated with a 4.7-percentage point decrease in being uninsured and a 5.9-percentage point increase in private insurance coverage in the month before pregnancy, and a 5.4-percentage point increase in private insurance coverage and a 5.9-percentage point decrease in Medicaid coverage during pregnancy, with similar changes in insurance coverage at delivery. Findings demonstrated a 3.6-percentage point increase in receipt of timely prenatal care, and no change in receipt of a postpartum check-up or postpartum contraceptive use. CONCLUSIONS: Among women with a recent live birth, the Provision was associated with a decreased likelihood of being uninsured and increased private insurance coverage in the month before pregnancy, a shift from Medicaid to private insurance coverage during pregnancy and at delivery, and an increased likelihood of receiving timely prenatal care
Actuarial science · Business · Economic growth · Economics · Environmental health · Family medicine · Health care · Health insurance · Food Security and Health in Diverse Populations · Global Maternal and Child Health · Healthcare Policy and Management · Medicine
The Affordable Care Act Has Led To Significant Gains In Health Insurance And Access To Care For Young Adults
The Pregnancy Risk Assessment Monitoring System (PRAMS)
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Timing of Insurance Coverage and Use of Prenatal Care Among Low-Income Women
The Pregnancy Risk Assessment Monitoring System (PRAMS)
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,29 |
| Citation span | 2019 - 2023 (5) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 2 |