Abstract

This cross-sectional study examined whether the US Affordable Care Act (ACA) Marketplace was associated with changes in primary care spending and use.

Highlights

  • The US Affordable Care Act (ACA) Health Insurance Marketplaces have been associated with improvements in access to care,[1] but evidence on primary care is limited.[2]

  • Our analysis showed no significant changes in annual primary care spending, out-of-pocket spending for primary care visits, or any primary care visits between the intervention and control groups (Table 1)

  • Downloaded From: https://jamanetwork.com/ on 11/02/2021 intervention group relative to the control group

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Summary

Introduction

The US Affordable Care Act (ACA) Health Insurance Marketplaces have been associated with improvements in access to care,[1] but evidence on primary care is limited.[2]. There is evidence that suggests restricted hospital networks as well as low primary care physician participation in the Marketplaces[3,4] may limit access to primary care services. We examined whether the ACA Marketplace was associated with changes in primary care spending and use. Author affiliations and article information are listed at the end of this article

Methods
Results
Conclusion

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