Coverage Gains After the Affordable Care Act Among the Uninsured in Minnesota.

Autor:	Call KT; Kathleen Thiede Call, Elizabeth Lukanen, Donna Spencer, Giovann Alarcón, and Jessie Kemmick Pintor are with the State Health Access Data Assistance Center, University of Minnesota School of Public Health, Minneapolis. Alisha Baines Simon and Stefan Gildemeister are with the Minnesota Department of Health, Health Economics Program, St. Paul., Lukanen E; Kathleen Thiede Call, Elizabeth Lukanen, Donna Spencer, Giovann Alarcón, and Jessie Kemmick Pintor are with the State Health Access Data Assistance Center, University of Minnesota School of Public Health, Minneapolis. Alisha Baines Simon and Stefan Gildemeister are with the Minnesota Department of Health, Health Economics Program, St. Paul., Spencer D; Kathleen Thiede Call, Elizabeth Lukanen, Donna Spencer, Giovann Alarcón, and Jessie Kemmick Pintor are with the State Health Access Data Assistance Center, University of Minnesota School of Public Health, Minneapolis. Alisha Baines Simon and Stefan Gildemeister are with the Minnesota Department of Health, Health Economics Program, St. Paul., Alarcón G; Kathleen Thiede Call, Elizabeth Lukanen, Donna Spencer, Giovann Alarcón, and Jessie Kemmick Pintor are with the State Health Access Data Assistance Center, University of Minnesota School of Public Health, Minneapolis. Alisha Baines Simon and Stefan Gildemeister are with the Minnesota Department of Health, Health Economics Program, St. Paul., Kemmick Pintor J; Kathleen Thiede Call, Elizabeth Lukanen, Donna Spencer, Giovann Alarcón, and Jessie Kemmick Pintor are with the State Health Access Data Assistance Center, University of Minnesota School of Public Health, Minneapolis. Alisha Baines Simon and Stefan Gildemeister are with the Minnesota Department of Health, Health Economics Program, St. Paul., Baines Simon A; Kathleen Thiede Call, Elizabeth Lukanen, Donna Spencer, Giovann Alarcón, and Jessie Kemmick Pintor are with the State Health Access Data Assistance Center, University of Minnesota School of Public Health, Minneapolis. Alisha Baines Simon and Stefan Gildemeister are with the Minnesota Department of Health, Health Economics Program, St. Paul., Gildemeister S; Kathleen Thiede Call, Elizabeth Lukanen, Donna Spencer, Giovann Alarcón, and Jessie Kemmick Pintor are with the State Health Access Data Assistance Center, University of Minnesota School of Public Health, Minneapolis. Alisha Baines Simon and Stefan Gildemeister are with the Minnesota Department of Health, Health Economics Program, St. Paul.
Jazyk:	angličtina
Zdroj:	American journal of public health [Am J Public Health] 2015 Nov; Vol. 105 Suppl 5, pp. S658-64. Date of Electronic Publication: 2015 Oct 08.
DOI:	10.2105/AJPH.2015.302837
Abstrakt:	Objectives: We determined whether and how Minnesotans who were uninsured in 2013 gained health insurance coverage in 2014, 1 year after the Affordable Care Act (ACA) expanded Medicaid coverage and enrollment. Methods: Insurance status and enrollment experiences came from the Minnesota Health Insurance Transitions Study (MH-HITS), a follow-up telephone survey of children and adults in Minnesota who had no health insurance in the fall of 2013. Results: ACA had a tempered success in Minnesota. Outreach and enrollment efforts were effective; one half of those previously uninsured gained coverage, although many reported difficulty signing up (nearly 62%). Of the previously uninsured who gained coverage, 44% obtained their coverage through MNsure, Minnesota's insurance marketplace. Most of those who remained uninsured heard of MNsure and went to the Web site. Many still struggled with the enrollment process or reported being deterred by the cost of coverage. Conclusions: Targeting outreach, simplifying the enrollment process, focusing on affordability, and continuing funding for in-person assistance will be important in the future.
Databáze:	MEDLINE
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