Abstract
Surveillance for Health Care Access and Health Services Use, Adults Aged 18-64 Years - Behavioral Risk Factor Surveillance System, United States, 2014.
Highlights
The number of adults with health insurance coverage fluctuates because of economic conditions, demographics, geographic location, and policy changes that affect access to health care such as the 2010 Patient Protection and Affordable Care Act (ACA)
During 2013–2014, when many of the major coverage provisions of ACA went into effect, the percentage of working-aged adults with health insurance increased by approximately 3 percentage points, according to the Behavioral Risk Factor Surveillance System (BRFSS) and other surveys [1,2,3,4,5,6,7]
In addition to increasing access to affordable insurance coverage, ACA requires most health plans to cover clinical preventive services (CPS) without copays or deductibles for services given an A or B recommendation by the U.S Preventive Services Task Force (USPSTF), vaccinations recommended by the Advisory Committee on Immunization Practices (ACIP), and preventive health care services recommended by the Health Resources and Services Administration for women and children; ACA includes provisions aimed at improving the quality of care [43]
Summary
The number of adults with health insurance coverage fluctuates because of economic conditions, demographics, geographic location, and policy changes that affect access to health care such as the 2010 Patient Protection and Affordable Care Act (ACA). Adults who lack health insurance coverage or have inadequate coverage, gaps in coverage, or difficulties accessing or navigating the U.S health care system might delay or forgo CPS and other needed medical care [34,35,36,37,38] Such delays might lead to poor physical and mental health, premature mortality, increased health disparities, and increased financial risk, among racial/ethnic minorities, persons with disabilities, and other vulnerable population groups (e.g., homeless persons, cancer survivors, or pregnant women) [35,36,38,39,40,41,42]. In addition to increasing access to affordable insurance coverage, ACA requires most health plans to cover CPS without copays or deductibles for services given an A or B recommendation by the U.S Preventive Services Task Force (USPSTF) (https:// www.uspreventiveservicestaskforce.org/Page/Name/uspstfa-and-b-recommendations), vaccinations recommended by the Advisory Committee on Immunization Practices (ACIP) (https://www.cdc.gov/vaccines/hcp/acip-recs/), and preventive health care services recommended by the Health Resources and Services Administration for women (https://www.hrsa.gov/ womensguidelines/) and children (https://www.aap.org/en-us/ Documents/periodicity_schedule.pdf ); ACA includes provisions aimed at improving the quality of care [43]
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