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Primary Care 101: Supply and Demand

by Vidya Eswaran in Access to Care

The Affordable Care Act (ACA) has helped millions of Americans get insured. The hope is that if an individual is insured, he or she is more likely to gain access to primary [...]

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Quality of Care

Access to Care

Health care costs

Affordable Care Act

  • Source: Allen Skyy (Flickr/cc)

    Medicaid crowd out: hype or reality?

    With Medicaid expansion underway, questions about whether Medicaid coverage “crowds out” private coverage have reemerged. Critics of Medicaid expansion contend that public health insurance causes individuals to forego private coverage. A recent study published in Inquiry sought to quantify this phenomenon—specifically, to determine how many new Medicaid enrollees had private insurance at the time of Medicaid enrollment and, of those new Medicaid recipients, how many dropped their private [...]
  • Source: DIBP images

    Mid-level providers are moving on up

    Over the past several decades, there has been a dire need for primary care services across the United States, especially in rural and poor urban settings. This need has increased dramatically with more citizens insured through the Affordable Care Act. Mid-level providers such as nurse practitioners (NPs) and physician assistants (PAs) have been utilized more recently within the past several decades to address the immediate and critical shortage of primary care providers. Over the past decade, [...]
  • Source: felixtsao (Flickr/CC)

    PCMH falls flat in New Orleans

    With the expansion of Medicaid provided by the Affordable Care Act, models like the patient-centered medical home (PCMH) should be analyzed for their potential positive impact on Medicaid populations. A PCMH is a team-based health care delivery model led by a primary care physician that emphasizes specific elements of quality care. Though prior researchers found that the adoption of more PCMH characteristics was associated with higher patient ratings of care coordination, it was not associated [...]
  • Source: U.S. Army Corps of Engineers Europe District (Flickr/CC)

    Give the people what they want

    Under the Affordable Care Act, eligibility for Medicaid benefits was expanded to include low-income childless adults. This provision has proven to be immensely controversial, however, and 23 states have refused to accept it*. A survey published in Health Affairs asked low-income adult citizens (household income less than 138% of the federal poverty level) in Texas, Arkansas, and Kentucky about their perceptions of Medicaid services. These states were chosen because of their very different [...]
  • Source: Robbie Shade (Flickr/CC)

    Looking to Massachusetts for Answers

    Massachusetts’ health reform in 2006 served as a model for the Affordable Care Act (ACA), and many policy experts are closely following the state to estimate what we can expect with the ACA. One important question to policymakers and the public is whether the ACA will decrease emergency department (ED) visits. Source: Robbie Shade (Flickr/CC) A new study published in Medical Care this year specifically focused on ED use by people who gained Commonwealth Care (CommCare) after health reform in [...]
  • Source: F. Antolín Hernández (Flickr/CC)

    The Times Are Not A-Changin’

    When President Barack Obama first ran for president in 2008, universal health care seemed like a real possibility. Fast forward seven years later: Employer-sponsored health care is still the main game in town. Has the Affordable Care Act impacted employer-sponsored health care in the last few years, or is it just business as usual? Source: F. Antolín Hernández (Flickr/CC) A new study from the Kaiser Family Foundation examined whether employers have changed their annual premiums and health [...]
  • Source: lunar caustic (Flickr/CC)

    Protecting Babies and Women’s Rights

    Does protecting abortion rights paradoxically lower infant mortality rates? A new study from Health Affairs examined trends in US infant death rates between1960–1980, and though the hypothesis is provocative, the study’s level of evidence is limited due to its descriptive analysis. Source: lunar caustic (Flickr/CC) Several states have introduced hundreds of abortion bills in the past few years. Often referred to as targeted regulation of abortion providers (TRAP), the laws have affected [...]
  • Source: Quasifly (Flickr/CC)

    No Good Deed Goes Unpunished

    The cost-reductions built into the Patient Protection and Affordable Care Act (ACA) are based upon the assumption that as the number of uninsured decreases, the need for federal subsidies to hospitals providing uncompensated care will also decrease.  However, 25 states have declined Medicaid expansions, and in total the ACA will cover only an additional 20 million of the estimated 50 million uninsured Americans. As implementation of the ACA progresses, hospitals serving indigent patient [...]
  • Source: Dan Moyle (Flickr/CC)

    It Costs More to be Poor

    Uninsured patients are the most financially vulnerable to hospital charges. Hospitals bill a high charge for medical services, with the expectation that a fraction of that is actually paid by insurance companies. With a large consumer base, commercial and government insurance programs negotiate for substantially lower rates. Meanwhile, the uninsured have little to no bargaining power, and thus are frequently tethered with substantial payments at the gross price. Source: Dan Moyle (Flickr/CC) To [...]
  • Source: Matthew Anderson (Flickr/CC)

    Primary Care 101: Supply and Demand

    The Affordable Care Act (ACA) has helped millions of Americans get insured. The hope is that if an individual is insured, he or she is more likely to gain access to primary care. More access to primary care means fewer expensive emergency room visits and hospitalizations. Source: Matthew Anderson (Flickr/CC) One fear, however, is that the demand for primary care will skyrocket, but the supply of primary care providers (even with mid-level providers taking on some of the workload) will not be [...]

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The Uninsured

  • Source: Dan Moyle (Flickr/CC)

    It Costs More to be Poor

    April 13, 2015 // 0 Comments

    Uninsured patients are the most financially vulnerable to hospital charges. Hospitals bill a high charge for medical services, with the expectation that a fraction of that is [...]
  • Source: U.S. Army Corps of Engineers Europe District (Flickr/CC)

    Give the people what they want

    January 19, 2015 // 0 Comments

    Under the Affordable Care Act, eligibility for Medicaid benefits was expanded to include low-income childless adults. This provision has proven to be immensely controversial, [...]
  • Source: Minnesota Historical Society (Flickr / CC)
    A recent study explored whether there is a relationship between the healthcare spending of uninsured individuals – sorted by citizenship status – prior to and during the [...]
  • Source: www.GlynLowe.com (Flickr / Creative Commons)

    ACA Progress Report: What has changed so far?

    August 11, 2014 // 2 Comments

    The first open enrollment period for the Affordable Care Act closed on March 31, with 8 million Americans enrolled by the deadline. The marketplace re-opens in November, [...]
  • Source: Kaiser Family Foundation analysis. Original data and detailed source information are available at http://kff.org/jama_062514
Produced by: Jessica Stephens, MPH; Samantha Artiga, MHSA; Barbara Lyons, PhD; Anne Jankiewicz; and David Rousseau, MPH.
    Source: Kaiser Family Foundation analysis. Original data and detailed source information are available at http://kff.org/jama_062514Produced by: Jessica Stephens, MPH; [...]