Research :: Young Adults’ Health Care Utilization and Expenditures Prior to the Affordable Care Act

This 2014 original article by researchers in the Division of Adolescent and Young Adult Medicine examines young adults’ health care utilization and expenditures prior to the Affordable Care Act.

Using data from the 2009 Medical Expenditures Survey, Lau et al found that young adults had significantly lower rates of overall healthcare utilization that other age groups, the lowest rate of office-based utilization, and higher rates of emergency room visits compared with adolescents.

Screen Shot 2014-08-01 at 11.54.14 AM

Uninsured young adults had high out-of-pocket expenses. Compared with the young adults with private insurance, the uninsured spent less than half on health care but essentially the same out-of-pocket expenses. Among young adults, we identified significant disparities in utilization and expenditures based on the presence/absence of a usual source of care, race/ethnicity, home language, and sex.

This study expands our understanding of young adults’ health care utilization patterns and associated expenditures. It highlights the importance of addressing noninsurance factors to fully realize the potential of the Affordable Care Act (ACA) while young adults are gaining insurance coverage. The authors conclude that further effort is needed to address noninsurance barriers and ensure equal access to health services.

The article is available here.

TOPIC(S)

Access & Utilization, Affordable Care Act, Journal Articles, Young Adults

DATE POSTED

July 31, 2014

MORE NEWS AND ARTICLES BY SIMILAR TOPIC(S)

Realizing the Dream for Californians Eligible for Deferred Action for Childhood Arrivals (DACA): A Two-Part Series on the DACA-Eligible Population in California

Millions of Californians are expected to gain health insurance under the Affordable Care Act (ACA). Between three and four million, however, are likely to remain uninsured, including about one million undocumented immigrants who are not eligible for the ACA’s federal coverage options. Included in this group are teens and young adults who are eligible for or […]

Access & Utilization | Affordable Care Act | Immigrants | Policy | Special Populations | State Policy

Trends in Adolescent and Young Adult Health in the United States

This article reviews health trends for adolescents and young adults, providing a single source for a national health profile. Data are presented on demographics, mortality, health-related behaviors, and healthcare access and utilization and major gender and racial/ethnic disparities are highlighted.

Access & Utilization | Data and Monitoring | Journal Articles | Mortality | Risky Behavior | Socio-demographic disparities | Trends | Young Adults

Adolescent Substance Use: Beware of International Comparisons

This 2003 article compares prevalence estimates of adolescents’ cigarette, alcohol and marijuana use from one Australian and two U.S. surveys, and considers the effect of methodological differences on reported use.

Data and Monitoring | Risky Behavior | Substance Use | Young Adults

Implementing the Affordable Care Act: How Much Will It Help Vulnerable Adolescents and Young Adults?

  NAHIC and the Center for Adolescent Health and the Law (CAHL) have partnered to examine the Affordable Care Act’s impact on three special populations of adolescents and young adults: homeless youth, foster youth, and those in the juvenile justice and criminal justice systems. These groups, with higher rates of morbidity than the general adolescent and […]

Affordable Care Act | Policy | Socio-demographic disparities | Special Populations | Young Adults

Alcohol and Cigarette Use Among Adolescent and Young Adult Males

This 2007 article discusses clinical considerations for and summarizes national data on alcohol and cigarette use among male adolescents and young adults.

Journal Articles | Males | Risky Behavior | Socio-demographic disparities | Substance Use | Young Adults