The affordable care act and access to care for people changing coverage sources

C. Orfield, L. Hula, M. Barna and S. Hoag

American Journal of Public Health, 2015, vol. 105, S651-S657

Abstract: Objectives: We investigated how access to and continuity of care might be affected by transitions between health insurance coverage sources, including the Marketplace (also called the Exchange), Medicaid, and the Children's Health Insurance Program (CHIP). Methods: From January to February 2014 and from August to September 2014, we searched provider directories for networks of primary care physicians and selected pediatric specialists participating in Marketplace, Medicaid, and CHIP in 6 market areas of the United States and calculated the degree to which networks overlapped. Results: Networks of physicians in Medicaid and CHIP were nearly identical, meaning transitions between those programs may not result in much physician disruption. This was not the case for Marketplace and Medicaid and CHIP networks. Conclusions: Transitions from the Marketplace to Medicaid or CHIP may result in different degrees of physician disruption for consumers depending on where they live and what type of Marketplace product they purchase.

Keywords: child; child health care; health care delivery; health care policy; health insurance; health maintenance organization; human; insurance; medicaid; medical care; patient care; preferred provider organization; primary health care; statistics and numerical data; United States, Child; Child Health Services; Continuity of Patient Care; Health Insurance Exchanges; Health Maintenance Organizations; Health Services Accessibility; Humans; Insurance Coverage; Insurance, Health; Medicaid; Medical Assistance; Patient Protection and Affordable Care Act; Preferred Provider Organizations; Primary Health Care; United States (search for similar items in EconPapers)
Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2015.302867_2

DOI: 10.2105/AJPH.2015.302867

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