AJMC April 13, 2022
Kenneth E. Thorpe, PhD

This paper examines whether the Affordable Care Act reduced the disparities in the use of clinical preventive services, chronic disease prevalence, and the number of uninsured.

ABSTRACT

Objectives: To compare the relative change in the use of clinical preventive services, prevalence of chronic disease, and share uninsured among White, Black, and Hispanic adults before and after the introduction of the Affordable Care Act (ACA).

Study Design: Retrospective analysis using the Medical Expenditure Panel Survey of adults aged 18 to 64 years. The regression relies on a fully interacted set of indicator variables of each racial group by 3 time periods: 2005-2009, 2010-2013, and 2014-2018.

Methods: Outcomes included indicators of mammography, colonoscopy, and lipid panel use. Several chronic conditions were examined,...

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Topics: ACA (Affordable Care Act), Equity/SDOH, Healthcare System, Insurance, Patient / Consumer, Provider, Survey / Study, Trends
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