Insurance Coverage and Health Care Utilization Among Asian Youth Before and After the Affordable Care Act.

Abstract:

OBJECTIVE:We examined changes in insurance coverage and health care utilization associated with the Affordable Care Act (ACA) among subgroups of Asian youth relative to non-Latino white youth. METHODS:Data were from the 2010 to 2017 American Community Survey and National Health Interview Survey. Difference-in-difference models were used to examine changes in insurance coverage and health care utilization associated with the ACA among subgroups of Asian youth relative to white youth and subgroups of Asian youth in households below 200% of the federal poverty level relative to comparable white youth. RESULTS:Since the implementation of the ACA, insurance coverage increased among all Asian subgroups and white youth. The magnitude of the increase in insurance coverage was larger among Asian subgroups than white youth. More pronounced increases were found among almost all Asian subgroups in households below 200% federal poverty level. Changes in health care utilization were limited and varied by subgroup. Increases in well-child visits were observed only among Chinese and "other" Asian youth. CONCLUSIONS:Insurance coverage increased among Asian youth after the implementation of the ACA. Improvements in health care utilization were limited and differed by subgroups. Programs to improve health care utilization should be tailored to Asian youth according to subgroup.

journal_name

Acad Pediatr

journal_title

Academic pediatrics

authors

Park S,Roby DH,Pintor JK,Stimpson JP,Chen J,Ortega AN

doi

10.1016/j.acap.2019.11.004

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

670-677

issue

5

eissn

1876-2859

issn

1876-2867

pii

S1876-2859(19)30454-1

journal_volume

20

pub_type

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