Open AccessThe Affordable Care Act Decreased the Proportion of Uninsured Patients in a Safety Net Orthopaedic Clinic
Author(s) -
Joseph A. Gil,
Avi D. Goodman,
Justin Kleiner,
Robin N. Kamal,
Laurence C. Baker,
Edward Akelman
Publication year - 2018
Publication title -
clinical orthopaedics and related research
Language(s) - English
Resource type - Journals
eISSN - 1528-1132
pISSN - 0009-921X
DOI - 10.1007/s11999.0000000000000078
Subject(s) - medicine , safety net , quartile , logistic regression , family medicine , medicaid , health insurance , health care , legislation , emergency medicine , medical emergency , demography , environmental health , confidence interval , sociology , political science , law , economics , economic growth
The Patient Protection and Affordable Care Act (ACA) was approved in 2010, substantially altering the economics of providing and receiving healthcare services in the United States. One of the primary goals of this legislation was to expand insurance coverage for under- and uninsured residents. Our objective was to examine the effect of the ACA on the insurance status of patients at a safety net clinic. Our institution houses a safety net clinic that provides the dominant majority of orthopaedic care for uninsured patients in our state. Therefore, our study allows us to accurately examine the magnitude of the effect on insurance status in safety net orthopaedic clinics.