Coverage and Access for Americans with Cardiovascular Disease or Risk Factors After the ACA: a Quasi-experimental Study.

ABSTRACT:

Background

Atherosclerotic cardiovascular disease (CVD) is the leading cause of death in the USA. Many with CVD or cardiovascular risk factors (CVRFs) lacked insurance coverage and access to care before enactment of the Affordable Care Act (ACA).

Objective

To assess the effect of the ACA on insurance coverage, access to care, and racial/ethnic disparities among non-elderly adults with CVD or CVRFs.

Design

Quasi-experimental policy intervention.

Participants

Nationally representative, non-institutionalized sample of 1,014,450 adults aged 18 to 64 years with CVD or at least 2 established CVRFs in the pre-ACA (2012-2013) and post-ACA (2015-2016) periods.

Intervention

Implementation of ACA provisions on 1 January 2014.

Main measures

Insurance coverage

SUBMITTER: Barghi A 

PROVIDER: S-EPMC6712137 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature