scholarly journals The Effect of Health Insurance on Crime Evidence from the Affordable Care Act Medicaid Expansion

2017 ◽  
Author(s):  
Qiwei He
Keyword(s):  
Health Insurance ◽  
Affordable Care Act ◽  
Medicaid Expansion ◽  
The Affordable Care Act

scholarly journals Rates of undiagnosed hypertension and diagnosed hypertension without anti-hypertensive medication following the Affordable Care Act

2021 ◽  
Author(s):  
Nathalie Huguet ◽  
Annie Larson ◽  
Heather Angier ◽  
Miguel Marino ◽  
Beverly B Green ◽  
...  
Keyword(s):  
Health Insurance ◽  
Affordable Care Act ◽  
Community Health Center ◽  
Healthcare Services ◽  
Medicaid Expansion ◽  
Uninsured Patients ◽  
Electronic Health Record Data ◽  
Undiagnosed Hypertension ◽  
Time To Diagnosis ◽  
The Affordable Care Act

Abstract Background The Affordable Care Act (ACA) Medicaid expansion improved access to health insurance and healthcare services. This study assessed whether the rate of patients with undiagnosed hypertension and the rate of patients with hypertension without anti-hypertensive medication decreased post-ACA in community health center (CHC). Methods We analyzed electronic health record data from 2012-2017 for 126,699 CHC patients aged 19-64 years with ≥1 visit pre-ACA and ≥1 post-ACA in 14 Medicaid expansion states. We estimated the prevalence of patients with undiagnosed hypertension (high blood pressure reading without a diagnosis for ≥1 day) and the prevalence of patients with hypertension without anti-hypertensive medication by year and health insurance type (continuously uninsured, continuously insured, gained insurance, and discontinuously insured). We compared the time to diagnosis or to anti-hypertensive medication pre- vs post-ACA. Results Overall, 37.3% of patients had undiagnosed hypertension and 27.0% of patients with diagnosed hypertension were without a prescribed anti-hypertensive medication for ≥1 day during the study period. The rate of undiagnosed hypertension decreased from 2012 through 2017. Those who gained insurance had the lowest rates of undiagnosed hypertension (2012: 14.8%; 2017: 6.1%). Patients with hypertension were also more likely to receive anti-hypertension medication during this period, especially uninsured patients who experienced the largest decline (from 47.0% to 8.1%). Post-ACA, among patients with undiagnosed hypertension, time to diagnosis was shorter for those who gained insurance than other insurance types. Conclusions Those who gained health insurance were appropriately diagnosed with hypertension faster and more frequently post-ACA than those with other insurance types.

The Tortuous Journey of the Health Insurance Marketplace

2018 ◽  
Vol 46 (4) ◽  
pp. 862-872 ◽  
Author(s):  
Jeanne M. Lambrew
Keyword(s):  
Health Insurance ◽  
Affordable Care Act ◽  
Medicaid Expansion ◽  
Policy Options ◽  
Policy Makers ◽  
The Past ◽  
Individual Market ◽  
The Affordable Care Act

This article examines the past, present, and future of individual market policies in the Affordable Care Act (ACA). It does so, first, by reviewing the law's goals, scope, and set of individual market policies, collectively called the Health Insurance Marketplace. The Marketplace, along with the ACA's Medicaid expansion, was designed to fill in gaps to provide all Americans with accessible, affordable coverage. Second, it reviews evidence on the law's impact to date, including changes under a new administration. Third, it discusses the three main policy options for the Marketplace: do nothing, build on it, or replace it. Lastly, it discusses the factors which could determine which pathway policy makers follow.

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