How does the Affordable Care Act impact health disparities?

Asked by: Heidi Hane  |  Last update: November 20, 2023
Score: 4.4/5 (60 votes)

The Affordable Care Act (ACA) coverage expansions, including the Medicaid expansion to low-income adults, provide an opportunity to reduce disparities in coverage, which research suggests may contribute to reductions in disparities access to care and health outcomes.

What impact has the Affordable Care Act had on racial and ethnic disparities in health care according to some studies?

After the main ACA provisions went into effect in 2014, coverage disparities declined slightly as the percentage of adults who were uninsured decreased by 7.1 percentage points for Hispanics, 5.1 percentage points for Blacks, and 3 percentage points for Whites.

What provisions of the ACA aim to reduce health disparities?

To improve health care quality, the ACA mandates several initiatives:
  • A national quality strategy,
  • Increased reliance on value-based purchasing,
  • Expansion of meaningful use of electronic health records (EHRs),
  • Better care coordination,
  • Development of quality measures for Medicaid and Medicare, and.

How did the Affordable Care Act affect healthcare?

Since 2010, the ACA has made health coverage more accessible and affordable for many Americans. Thanks to the ACA, Your children can stay on your health plan until they turn 26. Health plans can't deny you coverage because you have a pre-existing condition.

Has the Affordable Care Act eliminated health care inequality in the United States?

The ACA had an equalizing effect, reducing racial and ethnic disparities in coverage. Hispanic people had the highest initial uninsured rate and experienced the greatest gains (an overall decline of 15 percentage points in uninsured rates and a nine-point decline in the gap with whites).

ACA's Impact on Minority Health Insurance Disparities

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Why is the Affordable Care Act controversial?

One early controversy concerned whether individuals would lose their current health plans when the new law took effect. Initially, some insured people were taken by surprise when their insurers canceled policies that did not qualify as minimum essential coverage (MEC) under the ACA.

What are the cons of the Affordable Care Act?

  • The cost has not decreased for everyone. Those who do not qualify for subsidies may find marketplace health insurance plans unaffordable. ...
  • Loss of company-sponsored health plans. ...
  • Tax penalties. ...
  • Shrinking networks. ...
  • Shopping for coverage can be complicated.

In which 3 ways did the Affordable Care Act affect individuals?

The law has 3 primary goals:
  • Make affordable health insurance available to more people. ...
  • Expand the Medicaid program to cover all adults with income below 138% of the FPL. ...
  • Support innovative medical care delivery methods designed to lower the costs of health care generally.

How did the ACA fail to provide access to healthcare for all individuals?

It largely failed. Health insurance markets are only afloat because of massive federal subsidies and premiums and out-of-pocket obligations significantly increased for families. While the ACA has led to about 13 million more people with Medicaid, many more have been harmed.

How can we reduce healthcare disparities?

Raising awareness through education can help address health equity. Improving resource coordination can also help populations most harmed by health disparities. For example, health care organizations can help reduce ethnic health disparities by offering cultural competency training to health care providers.

How has the Affordable Care Act improved public health?

The ACA has reduced the number of uninsured people to historically low levels and helped more people access health care services, especially low-income people and people of color.

How effective is the Affordable Care Act?

Indisputably, yes. More than 20 million people have gained coverage as a result of the ACA. It has dramatically reduced the uninsured rate. On the day President Obama signed the ACA, 16 percent of Americans were uninsured; in March 2020, it was nine percent.

What is the main purpose of the Affordable Care Act?

Make affordable health insurance available to more people. The law provides consumers with subsidies (“premium tax credits”) that lower costs for households with incomes between 100% and 400% of the federal poverty level (FPL).

How did ACA impact social determinants of health?

The ACA reduced income inequality within and between social determinant of health categories, especially for states with Medicaid expansion.

What was one of the more controversial provisions of the Affordable Care Act?

One of the reasons why people are signing up is the individual mandate. One of the law's most controversial provisions, this mandate requires that most adults must have coverage or pay a fine.

Who benefits most from the Affordable Care Act?

People with the lowest incomes tended to benefit the most from the law. That makes sense, given how the Affordable Care Act is designed. In states that expanded Medicaid, low-income people can get insurance without having to pay a premium.

What are 3 benefits of the Affordable Care Act?

Affordable Care Act (ACA) basics

Among other things, the ACA made it easier for many people to get coverage, removed annual and lifetime limits on essential health benefits and put in place requirements that individuals have medical coverage or pay a tax penalty.

What health policy has had the greatest impact on health care in the United States?

The Affordable Care Act is the most important health care legislation enacted in the United States since the creation of Medicare and Medicaid in 1965. The law implemented comprehensive reforms designed to improve the accessibility, affordability, and quality of health care.

Is the Affordable health care Act good or bad?

Since its enactment on March 23, 2010, the Affordable Care Act has led to an historic advancement of health equity in the United States. This landmark law improved the health of all Americans, including women and families, kids, older adults, people with disabilities, LGBTQI+ and communities of color.

What are ethical issues with the Affordable Care Act?

The recently enacted Affordable Care Act (PPACA) of 2010 has fueled ethical debate of several important controversial topics. Ethical issues of health care reform include moral foundations, cost containment, public health, access to care, ED crowding, and end-of-life issues.

Why do people think the Affordable Care Act is unconstitutional?

United States Department of Health and Human Services declared the law unconstitutional in an action brought by 26 states, on the grounds that the individual mandate to purchase insurance exceeds the authority of Congress to regulate interstate commerce.

What problems did the Affordable Care Act address?

  • The ACA protects people with preexisting conditions from discrimination. ...
  • Medicaid expansion helped millions of lower-income individuals access health care and more. ...
  • Health care became more affordable. ...
  • Women can no longer be charged more for insurance and are guaranteed coverage for services essential to women's health.

Which 3 populations do not have health care coverage even after the implementation of the Affordable Care Act ACA )?

Uninsured Working-Age Adults Disproportionately Low-Income, Latino, and Under Age 35.

Why was the Affordable Care Act met with controversy and opposition?

Although the majority of Democrats supported the ACA, many Republicans were opposed to what was seen as an overreach of government power and began to refer to the ACA as “Obamacare.” Opponents of the law had issues with the individual mandate that required people to purchase health care through the ACA or a private ...