Book/Printed Material Veterans' health insurance coverage under the Affordable Care Act and implications of repeal for the Department of Veterans Affairs

Title

• Veterans' health insurance coverage under the Affordable Care Act and implications of repeal for the Department of Veterans Affairs

Summary

• This report describes the Affordable Care Act's (ACA's) effects on nonelderly veterans' insurance coverage and demand for Department of Veterans Affairs (VA) health care and assesses the coverage and VA utilization changes that could result from repealing the ACA. Although prior research has shown that the number of uninsured veterans fell after the ACA took effect, the implications of ACA repeal for veterans and, especially, for VA have received less attention. Besides providing a new coverage option to veterans who are not enrolled in VA, the ACA also had the potential to affect health care use among VA patients. Findings include the following: In 2013, prior to the major coverage expansions under the ACA, nearly one in ten nonelderly veterans were uninsured, lacking access to both VA coverage and non-VA health insurance. Uninsurance among nonelderly veterans fell by an adjusted 36 percent (3.3 percentage points) after implementation of the ACA, from 9.1 percent in 2013 to 5.8 percent in 2015. By increasing non-VA health insurance coverage for VA patients, the ACA likely reduced demand for VA care; the authors estimate that, if the gains in insurance coverage that occurred between 2013 and 2015 had not occurred, nonelderly veterans would have used about 1 percent more VA health care in 2015: 125,000 more office visits, 1,500 more inpatient surgeries, and 375,000 more prescriptions. Recent congressional proposals to repeal and replace the ACA would increase the number of uninsured nonelderly veterans and further increase demand for VA health care.

Names

• Dworsky, Michael, author
• Farmer, Carrie M., author
• Shen, Mimi, author
• Rand Corporation, issuing body

Created / Published

• Santa Monica, California : RAND Health, [2017]

Contents

• Background -- Methods -- After the ACA, Fewer Nonelderly Veterans Were Uninsured, and More Reported Medicaid, Private, and VA Coverage -- How Would ACA Repeal Proposals Affect Veterans' Insurance Coverage and Use of VA Health Care? -- Discussion and Conclusions.

Headings

• -  Veterans--Medical care--United States
• -  Health services accessibility--United States
• -  Health insurance--United States
• -  United States.--Patient Protection and Affordable Care Act
• -  United States.--Department of Veterans Affairs
• -  Health insurance
• -  Medically Uninsured
• -  Veterans
• -  Health Services Accessibility
• -  Medicaid
• -  Health Surveys
• -  United States
• -  HISTORY / United States
• -  MEDICAL / Allied Health Services
• -  MEDICAL / Health Care Delivery
• -  MEDICAL / Health Policy
• -  MEDICAL / Medicaid & Medicare
• -  Health services accessibility
• -  Veterans--Medical care

Notes

• -  Also available on the Internet as a PDF file.
• -  Includes bibliographical references (pages 50-53).
• -  Description based on print version record; resource not viewed.

Medium

• 1 online resource (xiii, 53 pages) : illustrations.

Call Number/Physical Location

• UB369

Digital Id

• https://hdl.loc.gov/loc.gdc/gdcebookspublic.2024739313v1
• https://hdl.loc.gov/loc.gdc/gdcebookspublic.2024739313v2

Library of Congress Control Number

• 2024739313

Rights Advisory

• This is non-restricted, fully open content that may be accessed on and off of the Library of Congress campus, with no restrictions, by an unlimited number of users

Access Advisory

• Unrestricted online access

Online Format

• image
• pdf

LCCN Permalink

• https://lccn.loc.gov/2024739313

Additional Metadata Formats

• MARCXML Record
• MODS Record
• Dublin Core Record