This annotated bibliography explores the impact of the Affordable Care Act on health insurance coverage and access to care. It includes studies on Medicaid expansion, the reduction in infant mortality rates, and the relationship between Medicaid expansion and the opioid crisis.
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APPLIED BIOSTATISTICS ANNOTATED BIBLIOGRAPHY2 Applied Biostatistics Annotated Bibliography Annotated Bibliography Courtemanche, C., Marton, J., Ukert, B., Yelowitz, A., & Zapata, D. (2017). Early impacts of the Affordable Care Act on health insurance coverage in Medicaid expansion and non‐expansion states.Journal of Policy Analysis and Management,36(1), 178-210. The primary focus of the article is role ACA has played in increasing health insurance coverage. The overall results show that ACA’s Medicaid expansion increased the number of insured people by 3.1 percent in 2014. Other components of ACA increase coverage by 2.8 percent. The results are essential to inform the comparison of the impact of Medicaid expansion and non-expansion states. Sobel, R. S. (2014). The elephant in the room: why some states are refusing to expand Medicaid.Applied Economics Letters,21(17), 1226-1229. The article focused on the reason some states declined to expand ACA reforms. It was that the state with Republic control at both chambers had higher expansion regardless of the cost. The research also found that undecided states the probability of decision of their decision in the future can be predicted based on their political side. The research is significant in contributing to an opinion on various health care controversies and reforms. Daw, J. R., & Sommers, B. D. (2019). The Affordable Care Act and Access to Care for Reproductive-Aged and Pregnant Women in the United States, 2010–2016. American journal of public health,109(4), 565-571. The article investigated how Medicaid expansion or non-expansion has impacted on women. It was found that most women got access to insurance coverage in states that expanded the program. The first phase of ACA implementation showed an adjusted 3.9 percent decline in
APPLIED BIOSTATISTICS ANNOTATED BIBLIOGRAPHY3 uninsured women while the second phase of research recorded a 7.4 percent decrease in uninsured. The number of insured women increased with an increase in Medicaid coverage.The research will inform the need for health care reforms. Bhatt, C. B., & Beck-Sagué, C. M. (2018). Medicaid expansion and infant mortality in the United States.American journal of public health,108(4), 565-567. The research investigated how ACA reforms has contributed reduction or increase in infant mortality. Medicaid was found to have contributed to a significant reduction in infant mortality in expansion states compared to non-expansion states. The national infant mortality rates decreased by 11.9 percent. There was a decline in infant mortality in the African Americas from 12.2 in 2010 to 10.7 in 2015. The decline was attributed to the expansion of Medicaid. The research was critical in examining the shift in quality and excess to health care in the United States. Sharp, A., Jones, A., Sherwood, J., Kutsa, O., Honermann, B., & Millett, G. (2018). Impact of Medicaid expansion on access to opioid analgesic medications and medication- assisted treatment.American journal of public health,108(5), 642-648. The article focused to establish the impact of Medicaid expansion and Opioid crisis in the United States. The research tried to connect enhanced health access to increased abuse of opioid as a prescriptive drug. The article argues that health care reform has increased access to Opioid analgesic medications. The research found that the rate of opioid prescription increased with the expansion of Medicaid. The argument forms one of the controversies that need to be addressed by the reforms.