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The Affordable Care Act's Impacts on Access to Insurance and Health Care for Low-Income Populations
Annual Review of Public Health ( IF 20.8 ) Pub Date : 2017-04-06 00:00:00 , DOI: 10.1146/annurev-publhealth-031816-044555
Gerald F. Kominski 1, 2 , Narissa J. Nonzee 1, 3 , Andrea Sorensen 1, 2
Affiliation  

The Patient Protection and Affordable Care Act (ACA) expands access to health insurance in the United States, and, to date, an estimated 20 million previously uninsured individuals have gained coverage. Understanding the law's impact on coverage, access, utilization, and health outcomes, especially among low-income populations, is critical to informing ongoing debates about its effectiveness and implementation. Early findings indicate that there have been significant reductions in the rate of uninsurance among the poor and among those who live in Medicaid expansion states. In addition, the law has been associated with increased health care access, affordability, and use of preventive and outpatient services among low-income populations, though impacts on inpatient utilization and health outcomes have been less conclusive. Although these early findings are generally consistent with past coverage expansions, continued monitoring of these domains is essential to understand the long-term impact of the law for underserved populations.

中文翻译:


《平价医疗法案》对低收入人群获得保险和医疗保健的影响

《患者保护和负担得起的医疗法案》(ACA)在美国扩大了获得健康保险的机会,迄今为止,估计已有2000万以前没有保险的个人获得了保险。理解法律对尤其是低收入人群的覆盖,获取,利用和健康结果的影响,对于为正在进行的有关其有效性和实施的辩论提供信息至关重要。早期发现表明,穷人和医疗补助扩张州居民的未保险率已大大降低。此外,该法律与低收入人群增加医疗保健机会,负担能力以及预防性和门诊服务的使用有关,尽管对住院率和健康结果的影响尚无定论。

更新日期:2017-04-06
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