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Impact of the affordable care act on utilization of benefits of eye care and primary care examinations

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  • Yi Pang
  • Zhiyong Ren
  • Jingyun Wang

Abstract

Purpose: To determine the impact of the Affordable Care Act (ACA) on utilization of benefits of both eye care and primary care examinations in individuals who did not have health insurance prior to the ACA. Methods: Patients examined in an urban eye clinic from 2017 to 2018 were invited to participate. Patients were classified into two groups: Insured Group, who had health insurance before and after the ACA; The ACA Group, who had insurance only after the ACA. Patients were surveyed on how often they were examined by their eye care and primary care physicians before and after the ACA. The care utilization frequency was categorized into 3 levels: Frequent Care Use, Rare Care Use, and Never. To test the utilization of benefits frequency difference between two groups, the z-ratio was calculated. Results: A total of 4,355 patients were enrolled with 87.1% in the Insured Group and 12.9% in the ACA Group. After the ACA implementation, the percentage of “Frequent Care Use” of the eye care and primary care in the ACA Group patients significantly increased from 31.2% and 53.7% to 57.9% and 74.9%, respectively (P

Suggested Citation

  • Yi Pang & Zhiyong Ren & Jingyun Wang, 2020. "Impact of the affordable care act on utilization of benefits of eye care and primary care examinations," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-9, November.
    • Handle: RePEc:plo:pone00:0241475
    DOI: 10.1371/journal.pone.0241475
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    References listed on IDEAS

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    1. Buchmueller, T.C. & Levinson, Z.M. & Levy, H.G. & Wolfe, B.L., 2016. "Effect of the affordable care act on racial and ethnic disparities in health insurance coverage," American Journal of Public Health, American Public Health Association, vol. 106(8), pages 1416-1421.
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