Published In
BMC Public Health
Document Type
Article
Publication Date
9-2022
Subjects
Affordable care act, African Americans, Health care disparities, Health insurance
Abstract
Objectives: To investigate the impact of the Affordable Care Act’s (ACA) Medicaid expansion on African Americanwhite disparities in health coverage, access to healthcare, receipt of treatment, and health outcomes. Design: A search of research reports, following the PRISMA-ScR guidelines, identified twenty-six national studies investigating changes in health care disparities between African American and white non-disabled, non-elderly adults before and after ACA Medicaid expansion, comparing states that did and did not expand Medicaid. Analysis examined research design and findings. Results: Whether Medicaid eligibility expansion reduced African American-white health coverage disparities remains an open question: Absolute disparities in coverage appear to have declined in expansion states, although exceptions have been reported. African American disparities in health access, treatment, or health outcomes showed little evidence of change for the general population. Conclusions: Future research addressing key weaknesses in existing research may help to uncover sources of continuing disparities and clarify the impact of future Medicaid expansion on African American health care disparities.
Rights
Copyright (c) 2022 The Authors
This work is licensed under a Creative Commons Attribution 4.0 International License.
Locate the Document
DOI
10.21203/rs.3.rs-1619418/v1
Persistent Identifier
https://archives.pdx.edu/ds/psu/38462
Citation Details
Snowden, L. R., Graaf, G., Keyes, L., Kitchens, K., Ryan, A., & Wallace, N. (2022). Did Medicaid expansion close African American-white health care disparities nationwide? A scoping review. BMC Public Health.