TABLE A3.
Insurance coverage of hospitalized patients by diagnostic subgroup, race/ethnicity, age, and time periods relevant to the Affordable Care Act implementation, 2007–2016, National Inpatient Sample
| % uninsured (95% CI) | ||||
|---|---|---|---|---|
| Subgroup | Overall | Pre-ACA | Early ACA | Full ACA |
| Congenital heart disease | ||||
| NH-White | ||||
| 18–25 y | 7.3 (6.6, 8.0) | 9.3 (7.7, 10.9) | 7.4 (6.2, 8.6) | 5.3 (4.3, 6.2) |
| 26–64 y | 6.2 (5.9, 6.5) | 6.2 (5.6, 6.8) | 7.5 (7.0, 7.9) | 4.9 (4.5, 5.2) |
| NH-Black | ||||
| 18–25 y | 12.5 (10.4, 14.6) | 15.4 (10.2, 20.6) | 13.5 (10.6, 16.4) | 9.0 (6.4, 11.7) |
| 26–64 y | 11.1 (10.3, 11.9) | 12.9 (11.2, 14.7) | 12.4 (11.1, 13.8) | 8.5 (7.6, 9.4) |
| Hispanic | ||||
| 18–25 y | 12.6 (10.5, 14.7) | 13.9 (9.4, 18.5) | 14.9 (10.9, 18.9) | 9.3 (6.7, 11.9) |
| 26–64 y | 14.6 (13.1, 16.1) | 13.9 (10.7, 17.1) | 17.1 (14.7, 19.6) | 12.5 (11.1, 14.0) |
| Sickle cell disease | ||||
| NH-White | ||||
| 18–25 y | 8.4 (5.4, 11.4) | 10.5 (4.0, 16.9) | 7.4 (2.9, 11.8) | 7.1 (3.0, 11.1) |
| 26–64 y | 8.1 (6.5, 9.7) | 5.5 (2.9, 8.1) | 11.1 (8.0, 14.2) | 7.2 (4.9, 9.5) |
| NH-Black | ||||
| 18–25 y | 6.0 (5.5, 6.4) | 7.6 (6.6, 8.7) | 5.7 (5.1, 6.3) | 4.7 (4.2, 5.2) |
| 26–64 y | 5.0 (4.6, 5.3) | 6.1 (5.3, 7.0) | 4.8 (4.5, 5.2) | 4.1 (3.8, 4.5) |
| Hispanic | ||||
| 18–25 y | 6.9 (4.9, 8.8) | 7.7 (3.6, 11.7) | 8.2 (5.3, 11.1) | 4.5 (2.7, 6.3) |
| 26–64 y | 7.8 (6.4, 9.3) | 7.2 (4.2, 10.1) | 9.1 (6.5, 11.7) | 7.2 (5.6, 8.8) |
| Cystic fibrosis | ||||
| NH-White | ||||
| 18–25 y | 2.1 (1.8, 2.5) | 2.7 (1.9, 3.5) | 2.1 (1.6, 2.5) | 1.6 (1.2, 2.1) |
| 26–64 y | 1.8 (1.4, 2.2) | 2.1 (1.3, 2.9) | 2.0 (1.4, 2.6) | 1.3 (1.0, 1.6) |
| NH-Black | ||||
| 18–25 y | 3.2 (1.6, 4.9) | 4.3 (1.0, 7.5) | 3.8 (0.9, 6.7) | 1.6 (0.0, 3.3) |
| 26–64 y | 4.0 (2.4, 5.6) | 3.3 (0.4, 6.2) | 5.6 (2.3, 9.0) | 2.8 (0.9, 4.7) |
| Hispanic | ||||
| 18–25 y | 2.0 (1.0, 3.0) | 0.3 (0.0, 1.0) | 2.5 (0.6, 4.4) | 2.8 (0.9, 4.6) |
| 26–64 y | 5.1 (3.1, 7.2) | 4.6 (0.1, 9.2) | 8.3 (4.2, 12.3) | 2.9 (0.8, 5.0) |
| Other | ||||
| NH-White | ||||
| 18–25 y | 14.8 (14.4, 15.3) | 18.0 (17.2, 18.9) | 16.0 (15.5, 16.5) | 9.8 (9.5, 10.1) |
| 26–64 y | 9.1 (8.9, 9.3) | 9.4 (8.9, 9.8) | 10.5 (10.2, 10.8) | 7.3 (7.1, 7.4) |
| NH-Black | ||||
| 18–25 y | 20.0 (19.2, 20.8) | 23.7 (22.0, 25.5) | 21.0 (20.1, 22.0) | 15.4 (14.7, 16.1) |
| 26–64 y | 12.0 (11.4, 12.6) | 13.5 (12.2, 14.7) | 12.9 (12.2, 13.6) | 9.6 (9.2, 10.1) |
| Hispanic | ||||
| 18–25 y | 21.6 (20.6, 22.6) | 25.6 (23.5, 27.8) | 23.5 (22.4, 24.7) | 15.4 (14.6, 16.1) |
| 26–64 y | 16.2 (15.2, 17.2) | 16.9 (14.6, 19.3) | 18.0 (16.8, 19.1) | 13.5 (12.8, 14.2) |
Footnote: Uninsured includes self-pay and no charge. Other includes payer types not included in the specified groups; examples include worker’s compensation, Indian Health Service, CHAMPUS/VA. Era of the Affordable Care Act was assigned based on each hospitalizations discharge date: Pre-ACA, 01/01/2007 – 6/30/2010; Early ACA, 07/01/2010 – 12/31/2013; Full ACA, 01/01/2014 – 12/31/2016.