Gain in Insurance Coverage and Residual Uninsurance Under the Affordable Care Act: Texas, 2013–2016
Open accessAbstract
Objectives. To examine the effects of the Affordable Care Act’s (ACA’s) Marketplace on Texas residents and determine which population subgroups benefited the most and which the least. Methods. We analyzed insurance coverage rates among nonelderly Texas adults using the Health Reform Monitoring Survey-Texas from September 2013, just before the first open enrollment period in the Marketplace, through March 2016. Results. Texas has experienced a roughly 6–percentage-point increase in insurance coverage (from 74.7% to 80.6%; P = .012) after implementation of the major insurance provisions of the ACA. The 4 subgroups with the largest increases in adjusted insurance coverage between 2013 and 2016 were persons aged 50 to 64 years (12.1 percentage points; P = .002), Hispanics (10.9 percentage points; P = .002), persons reporting fair or poor health status (10.2 percentage points; P = .038), and those with a high school diploma as their highest educational attainment (9.2 percentage points; P = .023). Conclusions. Many population subgroups have benefited from the ACA’s Marketplace, but approximately 3 million Texas residents still lack health coverage. Adopting the ACA’s Medicaid expansion is a means to address the lack of coverage.
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In mature markets like financial services, customer retention provides a number of intrinsic benefits to firms.
“In mature markets like financial services, customer retention provides a number of intrinsic benefits to the firms (Harrison and Ansell 2002; Pickett et al. 2017).”
From Health insurance policy renewal: an exploration of reputation, performance, and affect to understand customer inertia (2022) · cites this paper as Pickett et al. 2017
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United States Health Care Reform
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Lesbian, Gay, And Bisexual Adults Making Gains In Health Insurance And Access To Care
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Coverage Gains After the Affordable Care Act Among the Uninsured in Minnesota
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Kautish, P., Khare, A., & Sharma, R. (2022) · Journal of Marketing Analytics · doi:10.1057/s41270-021-00134-7 · Cited by 25 · see citing works
- Authors
- Pickett, S., Marks, E., & Ho, V.
- Affiliations
- Baylor College of Medicine (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2017-01
- Volume
- 107
- Issue
- 1
- Pages
- 120-126
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC5308153
- OpenAlex
- W2553266085
- Cited by
- 8
- References
- 12
- Citations by year
- 2026: 1 · 2024: 2 · 2022: 1 · 2021: 1 · 2019: 1 · 2017: 2
- FWCI
- 1.94
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- Rice University
- Episcopal Health Foundation
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Social Sciences › Economics, Econometrics and Finance › Finance › Healthcare Systems and Reforms
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Insurance and Financial Risk Management
- Keywords
- Affordable Care Act, health insurance coverage, Affordable Care Act Marketplace, Texas, uninsured population, Medicaid expansion, health care reform, Hispanic adults, health status, educational attainment, middle-aged adults, subgroup disparities
- MeSH terms
- Adult, Female, Humans, Male, Medicaid, Middle Aged, Surveys and Questionnaires, Texas, United States, Medically Uninsured, Insurance Coverage, Patient Protection and Affordable Care Act
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