The Effect Of The Affordable Care Act On Racial Disparities In Health Access And Outcomes

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The Effect of the Affordable Care Act on Racial Disparities in Health Access and Outcomes

Author : Tanvee Varma
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (15 download)

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Book Synopsis The Effect of the Affordable Care Act on Racial Disparities in Health Access and Outcomes by : Tanvee Varma

Download or read book The Effect of the Affordable Care Act on Racial Disparities in Health Access and Outcomes written by Tanvee Varma and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States healthcare system is unlike any other in the developed world. The United States pays more for healthcare, has poorer health outcomes, and the highest uninsured rate of the developed world as well as rampant health inequities across race, gender, and class. In an attempt to remedy several of these issues and provide health insurance to low-income Americans, the Patient Protection and Affordable Care Act (ACA) was passed in 2010. As a part of the ACA, Medicaid was expanded to cover individuals living below 138% of the federal poverty line. Given that the Supreme Court determined that states should have the choice to expand Medicaid, only 25 states expanded Medicaid by January 2014. Using comprehensive health data from the Behavioral Risk Factor Surveillance System, this study explores whether the ACA, and particularly, the expansion of Medicaid, reduced racial and ethnic disparities in health insurance, access, utilization, and outcomes. By employing a difference-in-difference strategy, we find that racial disparities in health insurance coverage, financial risk from healthcare costs, and self-reported general health and mental health decrease. However, there are ambiguous effects on health utilization and physical health outcomes. These improvements are not uniform across race: blacks experience far greater improvements than Hispanics, relative to non-Hispanic whites. Additionally, there are no remarkable differences in racial and ethnic disparities in health between expansion and non-expansion states and individuals living below and above 138% of the federal poverty line after the full implementation of the ACA.

Communities in Action

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309452961
Total Pages : 583 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Communities in Action by : National Academies of Sciences, Engineering, and Medicine

Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Care Without Coverage

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309083435
Total Pages : 213 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Care Without Coverage by : Institute of Medicine

Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Achieving Health Equity via the Affordable Care Act

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309294630
Total Pages : 101 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Achieving Health Equity via the Affordable Care Act by : National Academies of Sciences, Engineering, and Medicine

Download or read book Achieving Health Equity via the Affordable Care Act written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-01-23 with total page 101 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since its creation by the Institute of Medicine (IOM) in 2007, the Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities has been fostering dialogue on racial and ethnic disparities in health and health care, examining the development of programs and strategies to reduce disparities, and encouraging the emergence of new leadership focused on health equity. For the past several years, a prominent topic of discussion within the roundtable has been the Patient Protection and Affordable Care Act (ACA). The ACA has multiple provisions specific to race, ethnicity, and language and other provisions with significant implications for racially and ethnically diverse populations. In April 2013, the roundtable held a workshop to address many issues surrounding the ACA, including expansion of coverage, delivery systems, and access points, service delivery and payment reform, public-private partnerships, and challenges to the safety net. This report summarizes the presentations and discussions from the workshop.

Unequal Treatment

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 030908265X
Total Pages : 781 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Unequal Treatment by : Institute of Medicine

Download or read book Unequal Treatment written by Institute of Medicine and published by National Academies Press. This book was released on 2009-02-06 with total page 781 pages. Available in PDF, EPUB and Kindle. Book excerpt: Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

Access to Health Care in America

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309047420
Total Pages : 240 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Access to Health Care in America by : Institute of Medicine

Download or read book Access to Health Care in America written by Institute of Medicine and published by National Academies Press. This book was released on 1993-02-01 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Americans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€"measures of utilization and outcomeâ€"that can "sense" when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals.

Section 1557 of the Affordable Care Act

Author : American Dental Association
Publisher : American Dental Association
ISBN 13 : 1941807712
Total Pages : 60 pages
Book Rating : 4.9/5 (418 download)

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Book Synopsis Section 1557 of the Affordable Care Act by : American Dental Association

Download or read book Section 1557 of the Affordable Care Act written by American Dental Association and published by American Dental Association. This book was released on 2017-05-24 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). This brief guide explains Section 1557 in more detail and what your practice needs to do to meet the requirements of this federal law. Includes sample notices of nondiscrimination, as well as taglines translated for the top 15 languages by state.

Understanding Racial and Ethnic Differences in Health in Late Life

Author : National Research Council
Publisher : National Academies Press
ISBN 13 : 0309165865
Total Pages : 184 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Understanding Racial and Ethnic Differences in Health in Late Life by : National Research Council

Download or read book Understanding Racial and Ethnic Differences in Health in Late Life written by National Research Council and published by National Academies Press. This book was released on 2004-09-08 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.

Coverage Matters

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309076099
Total Pages : 204 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Coverage Matters by : Institute of Medicine

Download or read book Coverage Matters written by Institute of Medicine and published by National Academies Press. This book was released on 2001-10-27 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.

Health-Care Utilization as a Proxy in Disability Determination

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 030946921X
Total Pages : 161 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Health-Care Utilization as a Proxy in Disability Determination by : National Academies of Sciences, Engineering, and Medicine

Download or read book Health-Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

America's Uninsured Crisis

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309140889
Total Pages : 238 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis America's Uninsured Crisis by : Institute of Medicine

Download or read book America's Uninsured Crisis written by Institute of Medicine and published by National Academies Press. This book was released on 2009-07-01 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: When policy makers and researchers consider potential solutions to the crisis of uninsurance in the United States, the question of whether health insurance matters to health is often an issue. This question is far more than an academic concern. It is crucial that U.S. health care policy be informed with current and valid evidence on the consequences of uninsurance for health care and health outcomes, especially for the 45.7 million individuals without health insurance. From 2001 to 2004, the Institute of Medicine (IOM) issued six reports, which concluded that being uninsured was hazardous to people's health and recommended that the nation move quickly to implement a strategy to achieve health insurance coverage for all. The goal of this book is to inform the health reform policy debateâ€"in 2009â€"with an up-to-date assessment of the research evidence. This report addresses three key questions: What are the dynamics driving downward trends in health insurance coverage? Is being uninsured harmful to the health of children and adults? Are insured people affected by high rates of uninsurance in their communities?

Racial Diversity Among Nursing Home Residents

Author : Fernando Loaiza
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)

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Book Synopsis Racial Diversity Among Nursing Home Residents by : Fernando Loaiza

Download or read book Racial Diversity Among Nursing Home Residents written by Fernando Loaiza and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Affordable Care Act (ACA), enacted in 2010 is an essential milestone for improving the health care coverage of American citizens. This article explores the effects of the Medicaid expansion under the Affordable Care Act on the racial diversity of the admissions of nursing home residents in the US. To address this, I implement a difference-in-difference estimation methodology that accounts for multiple time periods and variations in treatment timing. The results, obtained by using aggregate data at the U.S. county level from 2000 to 2019, suggest that racial disparities are not disappearing in nursing homes, on the contrary, are increasing. Moreover, it shows how the results differ after classifying Medicaid expansion/non-expansion states by income inequality and poverty rate levels. Lastly, potential mechanisms driving these results are discussed.

Changing the U.S. Health Care System

Author : Ronald M. Andersen
Publisher : Jossey-Bass
ISBN 13 : 0787994081
Total Pages : 744 pages
Book Rating : 4.7/5 (879 download)

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Book Synopsis Changing the U.S. Health Care System by : Ronald M. Andersen

Download or read book Changing the U.S. Health Care System written by Ronald M. Andersen and published by Jossey-Bass. This book was released on 2007-03-15 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt: The third edition of Changing the U.S. Health Care System is a thoroughly revised and updated compendium of the most current thought on three key components of health care policy—improving access, ensuring quality, and controlling costs. Written by a panel of health care policy experts, this third edition highlights the most recent research relevant to health policy and management issues. New chapters address topics such as the disparities in health and in health care, information systems, and performance in the area of nursing. Revisions to chapters from the previous edition emphasize the most recent developments in the field.

Beyond Obamacare

Author : James S. House
Publisher : Russell Sage Foundation
ISBN 13 : 1610448499
Total Pages : 235 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis Beyond Obamacare by : James S. House

Download or read book Beyond Obamacare written by James S. House and published by Russell Sage Foundation. This book was released on 2015-05-31 with total page 235 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care spending in the United States today is approaching 20 percent of GDP, yet levels of U.S. population health have been declining for decades relative to other wealthy and even some developing nations. How is it possible that the United States, which spends more than any other nation on health care and insurance, now has a population markedly less healthy than those of many other nations? Sociologist and public health expert James S. House analyzes this paradoxical crisis, offering surprising new explanations for how and why the United States has fallen into this trap. In Beyond Obamacare, House shows that health care reforms, including the Affordable Care Act, cannot resolve this crisis because they do not focus on the underlying causes for the nation’s poor health outcomes, which are largely social, economic, environmental, psychological, and behavioral. House demonstrates that the problems of our broken health care and insurance system are interconnected with our large and growing social disparities in education, income, and other conditions of life and work, and calls for a complete reorientation of how we think about health. He concludes that we need to move away from our misguided and almost exclusive focus on biomedical determinants of health, and to place more emphasis on addressing social, economic, and other inequalities. House’s review of the evidence suggests that the landmark Affordable Care Act of 2010, and even universal access to health care, are likely to yield only marginal improvements in population health or in reducing health care expenditures. In order to rein in spending and improve population health, we need to refocus health policy from the supply side—which makes more and presumably better health care available to more citizens—to the demand side—which would improve population health though means other than health care and insurance, thereby reducing need and spending for health care. House shows how policies that provide expanded educational opportunities, more and better jobs and income, reduced racial-ethnic discrimination and segregation, and improved neighborhood quality enhance population health and quality of life as well as help curb health spending. He recommends redirecting funds from inefficient supply-side health care measures toward broader social initiatives focused on education, income support, civil rights, housing and neighborhoods, and other reforms, which can be paid for from savings in expenditures for health care and insurance. A provocative reconceptualization of health in America, Beyond Obamacare looks past partisan debates to show how cost-efficient and effective health policies begin with more comprehensive social policy reforms.

Achieving Rural Health Equity and Well-Being

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309469058
Total Pages : 95 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Achieving Rural Health Equity and Well-Being by : National Academies of Sciences, Engineering, and Medicine

Download or read book Achieving Rural Health Equity and Well-Being written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-10-17 with total page 95 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rural counties make up about 80 percent of the land area of the United States, but they contain less than 20 percent of the U.S. population. The relative sparseness of the population in rural areas is one of many factors that influence the health and well-being of rural Americans. Rural areas have histories, economies, and cultures that differ from those of cities and from one rural area to another. Understanding these differences is critical to taking steps to improve health and well-being in rural areas and to reduce health disparities among rural populations. To explore the impacts of economic, demographic, and social issues in rural communities and to learn about asset-based approaches to addressing the associated challenges, the National Academies of Sciences, Engineering, and Medicine held a workshop on June 13, 2017. This publication summarizes the presentations and discussions from the workshop.

The ACA at 10 (Part One)

Author : Jonathan Oberlander
Publisher :
ISBN 13 : 9781478011538
Total Pages : 248 pages
Book Rating : 4.0/5 (115 download)

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Book Synopsis The ACA at 10 (Part One) by : Jonathan Oberlander

Download or read book The ACA at 10 (Part One) written by Jonathan Oberlander and published by . This book was released on 2020-07-03 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: The ACA at 10 marks the tenth anniversary of the Affordable Care Act with essays from prominent analysts of US health policy and politics. Its contributors, an interdisciplinary roster of scholars, policymakers, and health policy researchers, explore critical issues and themes in the ACA's evolution. Topics include the role of race in US health politics, the ACA's surprising economic impacts, the history of ACA litigation and its implications for future health reform, the paradoxes of post-ACA Medicaid, shifting directions in public opinion, and much more. Offering a comprehensive accounting of the signal event in US health policy of the last half-century, this issue constitute a landmark contribution to the health politics literature. Contributors. Daniel Béland, Linda Blumberg, Andrea Louise Campbell, Sherry Glied, Sarah Gordon, Scott Greer, Colleen Grogan, Michael Gusmano, Allison Hoffman, Jon Holahan, Nicole Huberfeld, Lawrence Jacobs, Holly Jarman, David Jones, Timothy Stolzfus Jost, Katie Keith, Aryana Khalid, Larry Levitt, John McDonough, Stacey McMorrow, Suzanne Mettler, Jamila Michener, Jonathan Oberlander, Mark Peterson, Philip Rocco, Marilyn Tavenner, Frank Thompson, Carolyn Hughes Tuohy, Alex Waddan

Population Health Implications of the Affordable Care Act

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309294371
Total Pages : 99 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Population Health Implications of the Affordable Care Act by : Institute of Medicine

Download or read book Population Health Implications of the Affordable Care Act written by Institute of Medicine and published by National Academies Press. This book was released on 2014-03-20 with total page 99 pages. Available in PDF, EPUB and Kindle. Book excerpt: Population Health Implications of the Affordable Care Act is the summary of a workshop convened in June 2013 by the Institute of Medicine Roundtable on Population Health Improvement to explore the likely impact on population health improvement of various provisions within the Affordable Care Act (ACA). This public workshop featured presentations and discussion of the impact of various provisions in the ACA on population health improvement. Several provisions of the ACA offer an unprecedented opportunity to shift the focus of health experts, policy makers, and the public beyond health care delivery to the broader array of factors that play a role in shaping health outcomes. The shift includes a growing recognition that the health care delivery system is responsible for only a modest proportion of what makes and keeps Americans healthy and that health care providers and organizations could accept and embrace a richer role in communities, working in partnership with public health agencies, community-based organizations, schools, businesses, and many others to identify and solve the thorny problems that contribute to poor health. Population Health Implications of the Affordable Care Act looks beyond narrow interpretations of population as the group of patients covered by a health plan to consider a more expansive understanding of population, one focused on the distribution of health outcomes across all individuals living within a certain set of geopolitical boundaries. In establishing the National Prevention, Health Promotion, and Public Health Council, creating a fund for prevention and public health, and requiring nonprofit hospitals to transform their concept of community benefit, the ACA has expanded the arena for interventions to improve health beyond the "doctor's" office. Improving the health of the population - whether in a community or in the nation as a whole - requires acting to transform the places where people live, work, study, and play. This report examines the population health-oriented efforts of and interactions among public health agencies (state and local), communities, and health care delivery organizations that are beginning to facilitate such action.