Abstract The U.S. population receives suboptimal levels of preventive care and has a high prevalence risky health behaviors. One goal the Affordable Care Act (ACA) was to increase improve behaviors by expanding access insurance. This paper estimates how ACA‐facilitated state‐level expansions Medicaid in 2014 affected these outcomes. Using data from Behavioral Risk Factor Surveillance System, difference‐in‐differences model that compares states did not expand Medicaid, we examine impact on...

To determine whether the 2014 Medicaid expansions facilitated by Affordable Care Act affected overall and early-stage cancer diagnosis for nonelderly adults.We used Surveillance, Epidemiology, End Results Cancer Registry data from 2010 through to estimate a difference-in-differences model of rates, both stage, comparing changes in county-level rates US states that expanded with those did not expand Medicaid.Among 611 counties this study, expansion was associated an increase diagnoses 13.8...

Changes in Insurance Coverage Among Cancer Patients Under the Affordable Care ActThe Act (ACA) has reduced number of uninsured persons United States to a historic low.Debate continues about potential changes law that could affect coverage for millions, particularly those with preexisting conditions.Meanwhile, cancer is leading cause death among Americans aged 19 64 years. 1 Treatment often unaffordable patients, 2 and some studies suggest expanding insurance improve cancer-related outcomes....

A growing body of literature examining the effects Affordable Care Act (ACA) on nonelderly adults provides promising evidence improvements in health outcomes through insurance expansions. Our review forty-three studies that employed a quasi-experimental research design found encouraging status, chronic disease, maternal and neonatal health, mortality, with some findings corroborated by multiple studies. Some further suggested beneficial have grown over time thus may continue to grow if ACA...

To analyze the differential rural-urban impacts of Affordable Care Act Medicaid expansion on low-income childless adults' health insurance coverage.Using data from American Community Survey years 2011-2015, we conducted a difference-in-differences regression analysis to test for changes in probability adults having states that expanded versus did not expand, rural urban areas. Analyses employed survey weights, adjusted covariates, and included set falsification tests as well sensitivity...

The Affordable Care Act made low-income nonelderly adults eligible for Medicaid in 2014 without requiring them to obtain disabled status through the Supplemental Security Income (SSI) program. In states that participated expansion, we found SSI participation decreased by about 3 percent after 2014.

The importance of trust in government amid health emergencies has become apparent, especially given its impact on behavior. Yet scholars often treat simplistically, measuring it at one point time and a unidimensional way. We use unique series surveys carried out during the first year pandemic to examine changing different actors over then link relative compliance with expert-recommended behaviors. find that declined this period, large declines for federal state local government. somewhat...

During the first year of COVID-19 pandemic, nearly 47.5 million Americans lost their employer-sponsored health insurance. While many were able to transition plans from other family members, 56% became uninsured [1]—a deleterious result during height a pandemic. Lower-income workers are most likely be laid off and lose coverage economic downturns, exacerbating socioeconomic disparities in healthcare access [2, 3]. Medicaid served as an essential lifeline for individuals families enrollment...

Importance Medicaid redetermination affects millions of people annually in the US, but little is known about beneficiaries who lose coverage during process. In early 2023, after COVID-19 pandemic mandate to provide continuous was lifted, states resumed eligibility and disenrollment individuals were no longer eligible. rose rapidly this unwinding period, yet health financial characteristics unable complete renewal Objective To assess levels self-reported mental health, functional security...

Abstract This study examines the longer term relationship between public health insurance expansions and behaviors. I leverage geographic temporal variation in implementation of Affordable Care Act‐facilitated Medicaid provide first estimates expansions' behavioral impacts during their 5 years. Using national survey data from 2010 to 2018 Behavioral Risk Factors Surveillance System a difference‐in‐differences regression design, show that increase utilization certain forms preventive care,...

The rate of opioid-related emergency department (ED) visits and inpatient hospitalizations has increased rapidly in recent years. Medicaid expansions have the potential to reduce overall hospital events by improving access outpatient treatment for opioid use disorder.To examine association between rates ED hospitalizations.A difference-in-differences observational design was used compare changes US nonfederal, nonrehabilitation hospitals states that implemented first quarter 2005 last 2017...

Xylene customarily has been used as a clearing agent for routine tissue processing. Because xylene is relatively hazardous solvent, laboratories are under pressure to seek less toxic alternatives use. We prepared 30 paired soft specimens histopathological evaluation using conventional and xylene-free methods evaluate compare their efficacy fixation, processing, embedding, staining turnaround time. All were measured before after Three pathologists evaluated scored the histological sections....

Malignancy is considered as a pathological imbalance of tissue-cell societies, state that emerges from tumor-host microenvironment in which host participates induction, selection and expansion the neoplastic cells. Invasion these malignancies can be viewed derangement proper sorting cell populations, causing violation normal tissue boundaries. This carried out by certain stromal cells like carcinoma associated fibroblasts (CAFs), tumor macrophage (TAMs), endothelial (ECs) leucocytes, bone...

Over the past four decades, more than 2,300 people have been victims of mass shootings involving a firearm in United States.Research shows that significant detrimental effects on direct and their families.However, relatively little is known about extent to which impacts these tragedies are transmitted into communities where they occur, how influence beyond those directly affected.This study uses nationally representative data from Gallup-Healthways survey assess spillover community wellbeing...

To assess post-COVID-19 changes in insurance coverage, health behaviors, and self-assessed among low-income, non-elderly adults by state Medicaid expansion status.We used nationally representative survey data from the 2016 through 2020 Behavioral Risk Factor Surveillance System (BRFSS). The sample was restricted to aged 19-64 with household income below 138 percent of federal poverty level (N = 179,135).We examined a broad set outcomes related available BRFSS. We difference-in-differences...

<h3>Abstract</h3> Over the past four decades, mass shootings have caused at least 1,000 deaths and 1,500 injuries in US, but little is known about how these tragedies influence people beyond those directly affected. This study uses nationally representative data from Gallup-Healthways survey to assess spillover effects of on individuals' community emotional wellbeing. Leveraging differences timing across counties between 2008-2016, we find that incidents reduce wellbeing for three months...

In the last decade, health care reform has dominated U.S. public policy and political discourse. Double-digit rate increases in premiums Health Insurance Marketplaces established by Affordable Care Act (ACA) 2018 make this an ongoing issue that could affect future elections. A seminal event changed course of politics around is 2016 presidential election. The results election departed considerably from polling forecasts. Given prominence election, we test whether changes insurance coverage at...

Overdose deaths from prescription opioids are on the rise, and policymakers seek solutions to curb opioid misuse. Recent proposals call for price-based solutions, such as taxes removal of insurance formularies. However, there is limited evidence how consumption responds price stimuli. This study addresses that gap by estimating effects prices utilization well other painkillers. I use nationally representative individual-level data drug purchases exploit introduction Medicare Part D in 2006...

Abstract Public health insurance programs like Medicaid provide in‐kind resources that may improve and reduce stress, altering time use patterns. Our study examines the effects of Affordable Care Act (ACA)‐facilitated expansions on spent home production childcare. Using time‐diary data, we estimated difference‐in‐differences models comparing patterns individuals in states expanded versus non‐expansion states, before after implementation. expansion increased amount low‐income adults by 12 min...

Little is known about how the Affordable Care Act might have differentially affected insurance coverage for self-employed workers, wage earners with and without offers of employer-sponsored insurance, people not employed. We found that employer had gains equal to or greater than those