Health Care Use of ACA Marketplace Enrollees During the COVID-19 Pandemic
The onset of the COVID-19 pandemic in March 2020 had a sudden and substantial impact on health care utilization for most, if not all, individuals. We study the impact the pandemic had on the population insured in the individual and small group markets under the Patient Protection and Affordable Care...
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| Veröffentlicht in: | Medical care research and review 2024-12, Vol.81 (6), p.464-473 |
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| creator | Li, Xinqi Frazier, Lex Lissenden, Brett Kautter, John McCrea, Robin |
| description | The onset of the COVID-19 pandemic in March 2020 had a sudden and substantial impact on health care utilization for most, if not all, individuals. We study the impact the pandemic had on the population insured in the individual and small group markets under the Patient Protection and Affordable Care Act (ACA) of 2010, using administrative claims data from January 2019 through December 2021. Our results demonstrated how health care utilization differed between the acute phase (i.e., 2020) and the post-acute phase (i.e., 2021) compared with the pre-pandemic phase. We found that in the ACA markets, most spending and utilization categories decreased drastically during the initial months of the pandemic and recovered by the end of 2021. While the role of telehealth among office visits decreased substantially by the end of 2021, it remained the main mode of delivery for mental health services. |
| doi_str_mv | 10.1177/10775587241277954 |
| format | Article |
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We study the impact the pandemic had on the population insured in the individual and small group markets under the Patient Protection and Affordable Care Act (ACA) of 2010, using administrative claims data from January 2019 through December 2021. Our results demonstrated how health care utilization differed between the acute phase (i.e., 2020) and the post-acute phase (i.e., 2021) compared with the pre-pandemic phase. We found that in the ACA markets, most spending and utilization categories decreased drastically during the initial months of the pandemic and recovered by the end of 2021. 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| source | Access via SAGE; MEDLINE; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); Alma/SFX Local Collection |
| subjects | Adult COVID-19 COVID-19 - epidemiology Female Health care Health Insurance Exchanges - statistics & numerical data Health services Health services utilization Humans Insurance, Health - statistics & numerical data Male Markets Mental health services Middle Aged Pandemics Patient Acceptance of Health Care - statistics & numerical data Patient Protection and Affordable Care Act Patients Population studies SARS-CoV-2 Telemedicine Telemedicine - statistics & numerical data United States Utilization |
| title | Health Care Use of ACA Marketplace Enrollees During the COVID-19 Pandemic |
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