• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Chronic Disease

Affordable Care Act linked to decreased out-of-pocket spending for healthcare

byJames EnglandandAnees Daud
January 30, 2018
in Chronic Disease, Emergency, Public Health
Reading Time: 2 mins read
0
Share on FacebookShare on Twitter

1. In this analysis of healthcare spending survey data from a nationally represented sample, the implementation of the Affordable Care Act (ACA) was associated with a decrease in mean out-of-pocket spending for healthcare. Mean premium spending increased during this same time period.

2. Participants in the low-income groups were more likely to have a reduction in out-of-pocket spending, while those in the high-income group had the highest premium increase.

Evidence Rating Level: 3 (Average)      

Study Rundown: The ACA was implemented in 2014 with the aim of expanding medical coverage, in part by expanding subsidized coverage to those from low- and middle-income families. Careful study of how these policies affect real-world spending practices are important to inform further legislation. The current study used nationally representative survey data on household income and healthcare spending practices to evaluate the effects of ACA implementation. The study found that overall, mean out-of-pocket spending decreased while mean premium spending increased since the implementation of ACA. The low-income groups had greater decrease in out-of-pocket spending while the higher income group had the greater increase in premium spending.

The strengths of the study included its nationally representative sample and stratification by income group allowing for unique insight into policy ramifications. The main limitations of the study included the short time period between ACA implementation and the survey data, as well as the lack of data on Medicare part B premiums affecting elderly patients.

Click to read the study, published in JAMA Internal Medicine

Relevant Reading: Reducing Young Adults’ Health Care Spending through the ACA Expansion of Dependent Coverage

RELATED REPORTS

#VisualAbstract High cost of healthcare was the highest patient-reported barrier to accessing outpatient dermatologic care

#VisualAbstract A multimodal intervention reduced peripheral intravenous catheter failures in hospitalized patients

Higher hospitalist continuity of care linked to improved clinical outcomes

In-Depth [survey]: This study used data from the Medical Expenditure Panel Survey (MEPS) from January 1, 2012 to December 31, 2015, which is a nationwide survey of US noninstitutionalized civilians. The study included data on adults aged 18-64 years. Income groups included lowest (138% or less of the federal poverty level, FPL), low (139% to 250%), middle (251% to 400%), and high (above 400%). Spending patterns from 2012 to 2014 (pre-ACA) and 2014-2015 (post-ACA) were compared.

For the 84 431 adults included in the study, ACA was associated with 11.9%(95%CI, −17.1% to −6.4%; p < 0.001) decrease in mean out-of-pocket spending and 12.1% (95%CI, 1.9%-23.3%) increase in mean premium spending. The lowest income group had the greatest decrease in out-of-pocket spending (21.4% decrease, 95%CI, −30.1% to −11.5%; p < 0.001), while the highest income group had the greatest premium increase (22.9%; 95%CI, 5.5%-43.1%). The odds of high burden spending (>10% of total family income) decreased following the implementation of ACA (odds ratio [OR], 0.80; 95%CI, 0.70-0.90).

Image: PD

©2018 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: Affordable Care Acthealthcare costs
Previous Post

Viral respiratory infections associated with increased risk of acute myocardial infarction

Next Post

Living kidney donation associated with some increased health risks

RelatedReports

#VisualAbstract High cost of healthcare was the highest patient-reported barrier to accessing outpatient dermatologic care
StudyGraphics

#VisualAbstract High cost of healthcare was the highest patient-reported barrier to accessing outpatient dermatologic care

November 27, 2021
#VisualAbstract A multimodal intervention reduced peripheral intravenous catheter failures in hospitalized patients
StudyGraphics

#VisualAbstract A multimodal intervention reduced peripheral intravenous catheter failures in hospitalized patients

September 9, 2021
Public Health

Higher hospitalist continuity of care linked to improved clinical outcomes

December 19, 2019
Eating in the absence of hunger linked to toddler obesity
Pediatrics

Significant unreimbursed costs linked to care coordination for medically complex children

December 24, 2018
Next Post
Fish oil and aspirin did not reduce arteriovenous fistula failure: The FAVOURED trail

Living kidney donation associated with some increased health risks

CPAP may not decrease cardiovascular events in sleep apnea

Patients with sleep apnea achieve similar outcomes when receiving care from a sleep specialist or nonspecialist

Long-term outcomes for off-pump and on-pump CABG are similar

Isolated left axis deviation may not necessitate further work up

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Delta variant of SARS-CoV-2 infection associated with higher changes of severe maternal morbidities
  • Endoscopic sleeve gastroscopy effective for excess weight loss in type 1 and 2 obesity
  • #VisualAbstract: Early time-restricted eating was more effective for weight loss than eating over 12-hour window
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.