Table 2.
Quintile of Change in Insurance Coverage and Associated Variation in Ability to See a Physician
| Quintile of change |
Insurance coverage rate |
Able to see a physician |
Difference in differences |
|
||||
|---|---|---|---|---|---|---|---|---|
| in coverage | Pre-ACA, % (95% CI) | Post-ACA, % (95% CI) | Change (95% CI) | Pre-ACA, % (95% CI) | Post-ACA, % (95% CI) | Change* (95% CI) | estimate (95% CI) | p |
| Black | ||||||||
| 1 | 76.6 (75.0 to 78.2) | 81.4 (79.9 to 82.9) | 4.8 (2.6 to 7.0) | 76.8 (75.1 to 78.4) | 81.2 (79.7 to 82.6) | 4.3 (2.2 to 6.5) | Ref. | |
| 2 | 78.7 (77.3 to 79.9) | 86.7 (85.5 to 87.8) | 8.0 (6.2 to 9.8) | 79.7 (78.4 to 81.0) | 84.1 (83.0 to 85.2) | 4.4 (2.8 to 6.1) | 0.0009 (−2.6 to 2.8) | 0.94 |
| 3 | 72.5 (71.3 to 73.6) | 82.5 (81.4 to 83.6) | 10.1 (8.5 to 11.6) | 75.2 (74.0 to 76.3) | 80.3 (79.2 to 81.4) | 5.2 (3.5 to 6.8) | 0.8 (−1.9 to 3.5) | 0.56 |
| 4 | 71.7 (70.2 to 73.2) | 84.3 (83.0 to 85.5) | 12.6 (10.6 to 14.5) | 75.2 (73.7 to 76.6) | 82.3 (81.0 to 83.5) | 7.2 (5.3 to 9.1) | 2.8 (−0.1 to 5.7) | 0.056 |
| 5 | 67.6 (65.3 to 69.8) | 89.5 (87.7 to 91.0) | 21.9 (19.1 to 24.7) | 72.3 (70.1 to 74.3) | 85.0 (83.0 to 86.8) | 12.7 (9.9 to 15.5) | 8.4 (4.8 to 11.9) | <0.001 |
| Hispanic | ||||||||
| 1 | 72.2 (70.0 to 74.5) | 71.2 (68.9 to 73.4) | −1.0 (−4.2 to 2.0) | 75.8 (73.6 to 77.9) | 78.1 (76.1 to 80.0) | 2.3 (−0.6 to 5.3) | Ref. | |
| 2 | 56.9 (55.1 to 58.7) | 62.5 (60.5 to 64.4) | 5.6 (2.9 to 8.2) | 69.4 (67.6 to 71.1) | 75.0 (73.1 to 76.7) | 5.6 (3.1 to 8.1) | 3.3 (−0.6 to 7.1) | 0.1 |
| 3 | 59.6 (57.8 to 61.3) | 67.7 (66.2 to 69.1) | 8.1 (5.8 to 10.4) | 71.6 (70.0 to 73.2) | 77.7 (76.4 to 78.9) | 6.0 (4.0 to 8.1) | 3.7 (0.1 to 7.2) | 0.04 |
| 4 | 50.3 (48.9 to 51.8) | 61.0 (59.6 to 62.4) | 10.6 (8.6 to 12.6) | 69.1 (67.8 to 70.4) | 75.0 (73.7 to 76.2) | 5.8 (4.0 to 7.6) | 3.5 (0.1 to 6.9) | 0.05 |
| 5 | 61.3 (59.9 to 62.6) | 74.7 (73.6 to 75.7) | 13.4 (11.6 to 15.1) | 74.0 (72.8 to 75.1) | 81.1 (80.1 to 82.1) | 7.1 (5.6 to 8.7) | 4.8 (1.5 to 8.1) | 0.004 |
| Low income | ||||||||
| 1 | 68.9 (68.1 to 69.8) | 75.1 (74.2 to 75.9) | 6.1 (4.9 to 7.3) | 71.1 (70.3 to 71.9) | 74.1 (73.3 to 75.0) | 3.0 (1.8 to 4.2) | Ref. | |
| 2 | 68.8 (67.6 to 70.0) | 78.6 (77.7 to 79.5) | 9.8 (8.4 to 11.3) | 70.3 (69.1 to 71.4) | 77.7 (76.8 to 78.5) | 7.4 (5.9 to 8.8) | 4.4 (2.5 to 6.3) | <0.001 |
| 3 | 54.0 (53.1 to 54.9) | 65.6 (64.7 to 66.6) | 11.6 (10.4 to 13.0) | 63.0 (62.1 to 63.8) | 68.8 (67.9 to 69.7) | 5.8 (4.6 to 7.1) | 2.8 (1.1 to 4.5) | 0.001 |
| 4 | 62.5 (61.8 to 63.2) | 76.9 (76.2 to 77.7) | 14.4 (13.4 to 15.5) | 68.2 (67.5 to 68.8) | 75.7 (75.0 to 76.4) | 7.6 (6.6 to 8.6) | 4.6 (3.0 to 6.1) | <0.001 |
| 5 | 58.0 (57.0 to 59.0) | 79.4 (78.5 to 80.3) | 21.4 (20.1 to 22.8) | 65.6 (64.6 to 66.5) | 76.4 (75.5 to 77.3) | 10.8 (9.5 to 12.1) | 7.8 (6.0 to 9.6) | <0.001 |