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The Affordable Care Act's Dependent Care Coverage and Mortality.
1Substance Abuse and Mental Health Services Administration, Rockville, MD.
Medical Care
|March 7, 2017
Summary
The Affordable Care Act (ACA) reduced disease-related deaths in young adults aged 19-25 by 3.1-6.1%. This highlights the potential for expanded health insurance coverage to further decrease preventable mortality.
Area of Science:
- Public Health
- Health Policy
- Demography
Background:
- The Affordable Care Act (ACA) was enacted in September 2010.
- A key provision allowed young adults to remain on their parents' insurance plans until age 26.
Purpose of the Study:
- To evaluate the effect of the ACA's dependent coverage expansion on mortality rates among young adults.
- To determine if health insurance access influences disease-related versus trauma-related mortality.
Main Methods:
- Utilized the Multiple Cause Mortality database (2008-2013).
- Employed a difference-in-differences analysis comparing monthly mortality rates.
- Used individuals aged 26-30 as a control group for those aged 19-25.
Main Results:
- Disease-related mortality for young adults (19-25) decreased by 3.1% to 6.1% after the ACA provision.
- The reduction was observed in conditions amenable to general medical care, like cardiovascular disease.
- Mortality from trauma-related causes remained unaffected, as these require immediate treatment regardless of insurance.
Conclusions:
- The ACA's dependent coverage expansion demonstrably reduced preventable mortality in young adults.
- Further expansion of health insurance coverage under the ACA could yield greater reductions in mortality.
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