AI Article Synopsis

  • The study explores how the Affordable Care Act's Medicaid expansion affects health coverage and disparities between African Americans and white individuals in the U.S.
  • It reviewed twenty-six national studies comparing states that expanded Medicaid to those that did not, focusing on changes in health care access and treatment outcomes.
  • Overall, while some improvements in health coverage disparities were seen in expansion states, significant issues in access and treatment for African Americans remain, indicating a need for further research to fully understand these disparities.

Article Abstract

Objectives: To investigate the impact of the Affordable Care Act's (ACA) Medicaid expansion on African American-white disparities in health coverage, access to healthcare, receipt of treatment, and health outcomes.

Design: A search of research reports, following the PRISMA-ScR guidelines, identified twenty-six national studies investigating changes in health care disparities between African American and white non-disabled, non-elderly adults before and after ACA Medicaid expansion, comparing states that did and did not expand Medicaid. Analysis examined research design and findings.

Results: Whether Medicaid eligibility expansion reduced African American-white health coverage disparities remains an open question: Absolute disparities in coverage appear to have declined in expansion states, although exceptions have been reported. African American disparities in health access, treatment, or health outcomes showed little evidence of change for the general population.

Conclusions: Future research addressing key weaknesses in existing research may help to uncover sources of continuing disparities and clarify the impact of future Medicaid expansion on African American health care disparities.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9426283PMC
http://dx.doi.org/10.1186/s12889-022-14033-8DOI Listing

Publication Analysis

Top Keywords

medicaid expansion
16
african american-white
12
health care
12
care disparities
12
african american
12
health
8
american-white health
8
disparities
8
aca medicaid
8
expansion african
8

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!