Full Citation
Title: Inequalities in Young Adult Health Insurance Coverage Post-federal Health Reform
Citation Type: Journal Article
Publication Year: 2019
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Abstract: Background Uninsurance for young adults (YAs) was greatly reduced by the Affordable Care Act (ACA). However, reforms may not be equally beneficial for all YAs and certain policies may exacerbate, rather than resolve, pre-existing disparities. Objective To investigate inequalities in YAs’ insurance coverage pre- (2000–2010) and post-federal health reforms (dependent coverage expansion, 2010–2013, and Medicaid/Marketplace expansions, 2014–2016), among a nationally representative sample. Design A difference-in-differences estimator (controlling for sociodemographics) was used to determine the effects of the ACA for young adults (ages 19–25) compared to adolescents (ages 13–18) and older YA (ages 26–30) counterparts; triple-difference estimators quantified differential policy effects by sociodemographics. Participants Three hundred eighty-seven thousand six hundred thirty-five participants in the 2000–2016 National Health Interview Survey. Main Measures Respondents reported their health insurance coverage types during the last 12 months, reasons uninsured, and detailed sociodemographics. Key Results An adjusted difference-in-differences estimator quantified a 12.3 percentage point increase (p < 0.0001) in full-year coverage post-ACA . . .
Url: https://link.springer.com/article/10.1007/s11606-018-4723-0
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Authors: Wisk, Lauren, E; Sharma, Niraj
Periodical (Full): Journal of General Internal Medicine
Issue: 1
Volume: 34
Pages: 65-74
Data Collections: IPUMS Health Surveys - NHIS
Topics: Health, Population Health and Health Systems
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