dc.contributor.author | Ercia, A | |
dc.contributor.author | Le, N | |
dc.contributor.author | Wu, R | |
dc.date.accessioned | 2021-07-21T15:24:07Z | |
dc.date.available | 2021-06-21 | |
dc.date.available | 2021-07-21T15:24:07Z | |
dc.date.issued | 2021-07-12 | |
dc.identifier.citation | Ercia, A., Le, N. & Wu, R. Health insurance enrollment strategies during the Affordable Care Act (ACA): a scoping review on what worked and for whom. Arch Public Health 79, 129 (2021). https://doi.org/10.1186/s13690-021-00645-w | en_US |
dc.identifier.issn | 0778-7367 | |
dc.identifier.uri | https://qmro.qmul.ac.uk/xmlui/handle/123456789/73164 | |
dc.description.abstract | BACKGROUND: The Affordable Care Act (ACA) provided an opportunity for millions of people in the U.S. to get coverage from the publicly funded Medicaid program or private insurance from the newly established marketplace. However, enrolling millions of people for health insurance was an enormous task. The aim of this review was to examine the strategies used to enroll people for health insurance and their effectiveness after implementing the ACA's coverage expansion. METHODS: The PRISMA Extension for Scoping Review (PRISMA-ScR) guided this review. Included studies were empirical studies that met the inclusion criteria and published between 2010 and 2020. Studies were searched mainly from two scholarly databases, CINAHL Plus and Medline (PubMed) using keyword searches. Hand searches from the references of selected journals were also performed. Content analysis was conducted by two authors in which codes were inductively developed to identify themes. RESULTS: There were 2213 potential studies identified from the search, but 10 met the inclusion criteria. The research design of the studies varied. Two studies were randomized trials, one quasi-experimental trial, three mixed-methods, two qualitative and two quantitative. All studies focused on strategies used to inform and help people enroll for either Medicaid or private insurance from the marketplace. This review identified three key strategies used to help enroll people for coverage: 1) individual assistance; 2) community outreach; and 3) health education and promotion (HE&P). CONCLUSION: Community-based organizations were likely to use a combination of the three strategies simultaneously to reach uninsured individuals and directly help them enroll for health insurance. Other organizations that aimed to reach a wider segment of the population used single strategies, such as community outreach or HE&P. | en_US |
dc.format.extent | 129 | |
dc.language | eng | |
dc.publisher | BMC part of Springer Nature | en_US |
dc.relation.ispartof | Arch Public Health | |
dc.rights | This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. | |
dc.subject | Insurance enrollment | en_US |
dc.subject | Medicaid | en_US |
dc.subject | Private insurance | en_US |
dc.subject | The affordable care act | en_US |
dc.title | Health insurance enrollment strategies during the Affordable Care Act (ACA): a scoping review on what worked and for whom. | en_US |
dc.type | Article | en_US |
dc.rights.holder | © The Author(s). 2021 | |
dc.identifier.doi | 10.1186/s13690-021-00645-w | |
pubs.author-url | https://www.ncbi.nlm.nih.gov/pubmed/34253258 | en_US |
pubs.issue | 1 | en_US |
pubs.notes | Not known | en_US |
pubs.publication-status | Published online | en_US |
pubs.publisher-url | https://doi.org/10.1186/s13690-021-00645-w | |
pubs.volume | 79 | en_US |
dcterms.dateAccepted | 2021-06-21 | |
rioxxterms.funder | Default funder | en_US |
rioxxterms.identifier.project | Default project | en_US |