Title |
Reasons Why Individuals Remain Uninsured Under the Affordable Care Act: Experiences of Patients at a Student-Run Free Clinic in Michigan, a Medicaid Expansion State
|
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Published in |
Journal of Community Health, October 2015
|
DOI | 10.1007/s10900-015-0112-3 |
Pubmed ID | |
Authors |
Brian S. Desmond, Molly A. Laux, Carolyn C. Levin, Jiaxin Huang, Brent C. Williams |
Abstract |
Since the enactment of the Affordable Care Act (ACA), many people remain uninsured. While studies have examined this population, few have explored patients' experiences seeking insurance. To elucidate these individuals' perspectives, we surveyed patients (n = 80) at the University of Michigan Student-Run Free Clinic concerning their activity accessing insurance. Over half of respondents had sought insurance in the past 6 months; 57 % of respondents qualified for Medicaid by self-reported income (≤138 % FPL) and all but one were eligible for tax credits on the Health Insurance Marketplace. However, only 35 % of apparently Medicaid-eligible respondents had recently applied. There was no significant difference in the rate of applying for those above the income cutoff (p = 0.901). Perceived expense of plans and belief of ineligibility for Medicaid discouraged respondents from actively seeking insurance. Personalized outreach emphasizing new Medicaid eligibility requirements and tax credits may be needed to facilitate Medicaid enrollment for some uninsured persons under the ACA. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 67% |
Unknown | 1 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 3 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 2% |
Unknown | 42 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Doctoral Student | 9 | 21% |
Student > Ph. D. Student | 8 | 19% |
Student > Master | 7 | 16% |
Student > Bachelor | 6 | 14% |
Librarian | 3 | 7% |
Other | 5 | 12% |
Unknown | 5 | 12% |
Readers by discipline | Count | As % |
---|---|---|
Social Sciences | 11 | 26% |
Medicine and Dentistry | 10 | 23% |
Nursing and Health Professions | 4 | 9% |
Agricultural and Biological Sciences | 4 | 9% |
Psychology | 3 | 7% |
Other | 4 | 9% |
Unknown | 7 | 16% |