Franklin

Veterans' health insurance coverage under the Affordable Care Act and implications of repeal for the Department of Veterans Affairs / Michael Dworsky, Carrie M. Farmer, Mimi Shen.

Author/Creator:
Dworsky, Michael, author.
Publication:
Santa Monica, California : RAND Corporation, [2017]
Format/Description:
Book
xiii, 53 pages : illustrations.
Series:
Research report (Rand Corporation); RR-1955-NYSHF/RWJ.
Research report ; RR-1955-NYSHF/RWJ
Status/Location:
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Details

Subjects:
Veterans -- Medical care -- United States.
Health services accessibility -- United States.
Health insurance -- United States.
United States. Patient Protection and Affordable Care Act.
United States. Department of Veterans Affairs.
United States.
Health insurance.
Health services accessibility.
Veterans -- Medical care.
Medical subjects:
Insurance, Health.
Medically Uninsured.
Veterans.
Health Services Accessibility.
Medicaid.
Health Surveys.
Summary:
This report describes the Affordable Care Act's (ACA's) effects on nonelderly veterans' insurance coverage and demand for Department of Veterans Affairs (VA) health care and assesses the coverage and VA utilization changes that could result from repealing the ACA. Although prior research has shown that the number of uninsured veterans fell after the ACA took effect, the implications of ACA repeal for veterans and, especially, for VA have received less attention. Besides providing a new coverage option to veterans who are not enrolled in VA, the ACA also had the potential to affect health care use among VA patients. Findings include the following: In 2013, prior to the major coverage expansions under the ACA, nearly one in ten nonelderly veterans were uninsured, lacking access to both VA coverage and non-VA health insurance. Uninsurance among nonelderly veterans fell by an adjusted 36 percent (3.3 percentage points) after implementation of the ACA, from 9.1 percent in 2013 to 5.8 percent in 2015. By increasing non-VA health insurance coverage for VA patients, the ACA likely reduced demand for VA care; the authors estimate that, if the gains in insurance coverage that occurred between 2013 and 2015 had not occurred, nonelderly veterans would have used about 1 percent more VA health care in 2015: 125,000 more office visits, 1,500 more inpatient surgeries, and 375,000 more prescriptions. Recent congressional proposals to repeal and replace the ACA would increase the number of uninsured nonelderly veterans and further increase demand for VA health care.
Contents:
Background
Methods
After the ACA, Fewer Nonelderly Veterans Were Uninsured, and More Reported Medicaid, Private, and VA Coverage
How Would ACA Repeal Proposals Affect Veterans' Insurance Coverage and Use of VA Health Care?
Discussion and Conclusions.
Notes:
Includes bibliographical references.
Contributor:
Farmer, Carrie M., author.
Shen, Mimi, author.
Rand Corporation, issuing body.
ISBN:
9780833098917
0833098918
OCLC:
1004728921