Up-to-Date on Preventive Care Services Under Affordable Care Act: A Trend Analysis From MEPS 2007–2014

BACKGROUND:The utilization of preventive care services has been less than optimal. As part of an effort to address this, the Affordable Care Act (ACA) mandated that private health insurance plans cover evidence-based preventive services. OBJECTIVES:To evaluate whether the provisions of ACA have incr...

Full description

Saved in:
Bibliographic Details
Published in:Medical care 2017-08, Vol.55 (8), p.771-780
Main Authors: Hong, Young-Rock, Jo, Ara, Mainous, Arch G.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Blood pressure
Cancer
Cholesterol
Colorectal carcinoma
Confidence intervals
Cost Sharing
Diagnosis
Expenditures
Female
Health
Health care
Health care expenditures
Health insurance
Humans
Insurance
Insurance Coverage
Insurance, Health
Male
Mammography
Middle Aged
Original Article
Patient Protection & Affordable Care Act 2010-US
Patient Protection and Affordable Care Act
Preventive Health Services - utilization
Private Sector
Regression Analysis
Research design
Screening
Trend analysis
Vaccination
Young Adult
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:BACKGROUND:The utilization of preventive care services has been less than optimal. As part of an effort to address this, the Affordable Care Act (ACA) mandated that private health insurance plans cover evidence-based preventive services. OBJECTIVES:To evaluate whether the provisions of ACA have increased being up-to-date on recommended preventive care services among privately insured individuals aged 18–64. RESEARCH DESIGN:Multivariate linear regression models were used to examine trends in prevalence of being up-to-date on selected preventive services, diagnosis of health conditions, and health expenditures between pre-ACA (2007–2010) and post-ACA (2011–2014). Adjusted difference-in-difference analyses were used to estimate changes in those outcomes in the privately insured that differed from changes in the uninsured (control group). RESULTS:After the passage of ACA, up-to-date rates of routine checkup (2.7%; 95% confidence interval, 0.8%–4.7%; P=0.007) and flu vaccination (5.9%; 95% confidence interval, 4.2%–7.6%; P
ISSN:0025-7079
1537-1948
DOI:10.1097/MLR.0000000000000763