{"id":"https://openalex.org/W2539817732","doi":"https://doi.org/10.4018/ijsds.2016100105","title":"Assessing Individual Health Insurance Coverage and Utilization Before and After the Patient Protection and Affordable Care Act","display_name":"Assessing Individual Health Insurance Coverage and Utilization Before and After the Patient Protection and Affordable Care Act","publication_year":2016,"publication_date":"2016-10-01","ids":{"openalex":"https://openalex.org/W2539817732","doi":"https://doi.org/10.4018/ijsds.2016100105","mag":"2539817732"},"language":"en","primary_location":{"id":"doi:10.4018/ijsds.2016100105","is_oa":false,"landing_page_url":"https://doi.org/10.4018/ijsds.2016100105","pdf_url":null,"source":{"id":"https://openalex.org/S11317544","display_name":"International Journal of Strategic Decision Sciences","issn_l":"1947-8569","issn":["1947-8569","1947-8577"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320424","host_organization_name":"IGI Global","host_organization_lineage":["https://openalex.org/P4310320424"],"host_organization_lineage_names":["IGI Global"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Strategic Decision Sciences","raw_type":"journal-article"},"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5029705062","display_name":"Theresa Jefferson","orcid":"https://orcid.org/0009-0001-4950-5216"},"institutions":[{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]},{"id":"https://openalex.org/I165556055","display_name":"Loyola University Maryland","ror":"https://ror.org/01by1wp65","country_code":"US","type":"education","lineage":["https://openalex.org/I165556055"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Theresa Jefferson","raw_affiliation_strings":["Sellinger School of Business and Management, Loyola University of Maryland, Baltimore, MD, USA"],"affiliations":[{"raw_affiliation_string":"Sellinger School of Business and Management, Loyola University of Maryland, Baltimore, MD, USA","institution_ids":["https://openalex.org/I165556055","https://openalex.org/I126744593"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046153744","display_name":"Gloria Phillips\u2010Wren","orcid":null},"institutions":[{"id":"https://openalex.org/I165556055","display_name":"Loyola University Maryland","ror":"https://ror.org/01by1wp65","country_code":"US","type":"education","lineage":["https://openalex.org/I165556055"]},{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gloria Phillips-Wren","raw_affiliation_strings":["Sellinger School of Business and Management, Loyola University of Maryland, Baltimore, MD, USA"],"affiliations":[{"raw_affiliation_string":"Sellinger School of Business and Management, Loyola University of Maryland, Baltimore, MD, USA","institution_ids":["https://openalex.org/I165556055","https://openalex.org/I126744593"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5028689983","display_name":"Phoebe D. Sharkey","orcid":"https://orcid.org/0000-0001-9259-7286"},"institutions":[{"id":"https://openalex.org/I165556055","display_name":"Loyola University Maryland","ror":"https://ror.org/01by1wp65","country_code":"US","type":"education","lineage":["https://openalex.org/I165556055"]},{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Phoebe D. Sharkey","raw_affiliation_strings":["Sellinger School of Business and Management, Loyola University of Maryland, Baltimore, MD, USA"],"affiliations":[{"raw_affiliation_string":"Sellinger School of Business and Management, Loyola University of Maryland, Baltimore, MD, USA","institution_ids":["https://openalex.org/I165556055","https://openalex.org/I126744593"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5029705062"],"corresponding_institution_ids":["https://openalex.org/I126744593","https://openalex.org/I165556055"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.10801082,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"7","issue":"4","first_page":"55","last_page":"70"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.9997000098228455,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11722","display_name":"Patient Satisfaction in Healthcare","score":0.9944000244140625,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/patient-protection-and-affordable-care-act","display_name":"Patient Protection and Affordable Care Act","score":0.7876918911933899},{"id":"https://openalex.org/keywords/health-insurance","display_name":"Health insurance","score":0.7352129817008972},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.6588716506958008},{"id":"https://openalex.org/keywords/baseline","display_name":"Baseline (sea)","score":0.6168017387390137},{"id":"https://openalex.org/keywords/work","display_name":"Work (physics)","score":0.5829993486404419},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.5713098049163818},{"id":"https://openalex.org/keywords/census","display_name":"Census","score":0.5690756440162659},{"id":"https://openalex.org/keywords/population","display_name":"Population","score":0.5024480819702148},{"id":"https://openalex.org/keywords/actuarial-science","display_name":"Actuarial science","score":0.4334909915924072},{"id":"https://openalex.org/keywords/current-population-survey","display_name":"Current Population Survey","score":0.42551034688949585},{"id":"https://openalex.org/keywords/state","display_name":"State (computer science)","score":0.4217306673526764},{"id":"https://openalex.org/keywords/environmental-health","display_name":"Environmental health","score":0.3211023211479187},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.24522161483764648},{"id":"https://openalex.org/keywords/economic-growth","display_name":"Economic growth","score":0.2295950949192047},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.12785381078720093},{"id":"https://openalex.org/keywords/economics","display_name":"Economics","score":0.12152495980262756},{"id":"https://openalex.org/keywords/law","display_name":"Law","score":0.07753264904022217},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.07459411025047302}],"concepts":[{"id":"https://openalex.org/C2776643233","wikidata":"https://www.wikidata.org/wiki/Q1414593","display_name":"Patient Protection and Affordable Care Act","level":4,"score":0.7876918911933899},{"id":"https://openalex.org/C2983635472","wikidata":"https://www.wikidata.org/wiki/Q334911","display_name":"Health insurance","level":3,"score":0.7352129817008972},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.6588716506958008},{"id":"https://openalex.org/C12725497","wikidata":"https://www.wikidata.org/wiki/Q810247","display_name":"Baseline (sea)","level":2,"score":0.6168017387390137},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.5829993486404419},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5713098049163818},{"id":"https://openalex.org/C52130261","wikidata":"https://www.wikidata.org/wiki/Q39825","display_name":"Census","level":3,"score":0.5690756440162659},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5024480819702148},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.4334909915924072},{"id":"https://openalex.org/C2777766161","wikidata":"https://www.wikidata.org/wiki/Q5195069","display_name":"Current Population Survey","level":3,"score":0.42551034688949585},{"id":"https://openalex.org/C48103436","wikidata":"https://www.wikidata.org/wiki/Q599031","display_name":"State (computer science)","level":2,"score":0.4217306673526764},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3211023211479187},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.24522161483764648},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.2295950949192047},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.12785381078720093},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.12152495980262756},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.07753264904022217},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.07459411025047302},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C11413529","wikidata":"https://www.wikidata.org/wiki/Q8366","display_name":"Algorithm","level":1,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.4018/ijsds.2016100105","is_oa":false,"landing_page_url":"https://doi.org/10.4018/ijsds.2016100105","pdf_url":null,"source":{"id":"https://openalex.org/S11317544","display_name":"International Journal of Strategic Decision Sciences","issn_l":"1947-8569","issn":["1947-8569","1947-8577"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320424","host_organization_name":"IGI Global","host_organization_lineage":["https://openalex.org/P4310320424"],"host_organization_lineage_names":["IGI Global"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Strategic Decision Sciences","raw_type":"journal-article"},{"id":"pmh:oai:RePEc:igg:jsds00:v:7:y:2016:i:4:p:55-70","is_oa":false,"landing_page_url":"http://services.igi-global.com/resolvedoi/resolve.aspx?doi=10.4018/IJSDS.2016100105","pdf_url":null,"source":{"id":"https://openalex.org/S4306401271","display_name":"RePEc: Research Papers in Economics","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I77793887","host_organization_name":"Federal Reserve Bank of St. Louis","host_organization_lineage":["https://openalex.org/I77793887"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article"}],"best_oa_location":null,"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":50,"referenced_works":["https://openalex.org/W1494137514","https://openalex.org/W1565893470","https://openalex.org/W1600794084","https://openalex.org/W1842088439","https://openalex.org/W1849022518","https://openalex.org/W1884071789","https://openalex.org/W1914233877","https://openalex.org/W1975661599","https://openalex.org/W1976959410","https://openalex.org/W1977876330","https://openalex.org/W1984111244","https://openalex.org/W1984839669","https://openalex.org/W1989990510","https://openalex.org/W1991080736","https://openalex.org/W2000519767","https://openalex.org/W2000773925","https://openalex.org/W2012192178","https://openalex.org/W2024556766","https://openalex.org/W2025157798","https://openalex.org/W2026965260","https://openalex.org/W2037349744","https://openalex.org/W2041998008","https://openalex.org/W2044024422","https://openalex.org/W2050703439","https://openalex.org/W2076185346","https://openalex.org/W2088856801","https://openalex.org/W2099988998","https://openalex.org/W2100361358","https://openalex.org/W2102235928","https://openalex.org/W2110968307","https://openalex.org/W2121589103","https://openalex.org/W2125628414","https://openalex.org/W2126515552","https://openalex.org/W2143170742","https://openalex.org/W2144142683","https://openalex.org/W2144530766","https://openalex.org/W2146008191","https://openalex.org/W2146355276","https://openalex.org/W2149304536","https://openalex.org/W2153128398","https://openalex.org/W2171466783","https://openalex.org/W2278016361","https://openalex.org/W2405241566","https://openalex.org/W2419420067","https://openalex.org/W2510986948","https://openalex.org/W2733648090","https://openalex.org/W2898343041","https://openalex.org/W3122127669","https://openalex.org/W3123190710","https://openalex.org/W3123243273"],"related_works":["https://openalex.org/W4292464503","https://openalex.org/W2913446761","https://openalex.org/W2337544444","https://openalex.org/W2257025572","https://openalex.org/W3126680686","https://openalex.org/W21833197","https://openalex.org/W1851290192","https://openalex.org/W2048319054","https://openalex.org/W2467230557","https://openalex.org/W2599617039"],"abstract_inverted_index":{"The":[0,133],"adoption":[1],"of":[2],"the":[3,14,18,83,94,111,141,151],"Patient":[4],"Protection":[5],"and":[6,29,71,120,144],"Affordable":[7],"Care":[8],"Act":[9],"(PPACA)":[10],"in":[11,82,122],"2010":[12],"with":[13,68,124,130],"intent":[15],"to":[16,49,75,92,101,110,117,128],"improve":[17],"U.S.":[19],"health":[20,26,31,60],"care":[21,32,61],"delivery":[22],"system":[23],"by":[24,113,138],"expanding":[25],"insurance":[27,44,78],"coverage":[28,51],"controlling":[30],"costs":[33,121],"has":[34],"generated":[35],"intense":[36],"debate":[37],"regarding":[38],"its":[39],"implementation.":[40],"Marketplaces":[41],"known":[42],"as":[43,105,107,157,159],"exchanges":[45,64,126],"have":[46,65],"been":[47,66],"established":[48],"provide":[50],"for":[52,140],"Americans":[53],"who":[54],"otherwise":[55],"could":[56],"not":[57],"get":[58],"affordable":[59],"benefits.":[62],"These":[63],"plagued":[67],"financial":[69],"losses":[70],"other":[72],"challenges":[73],"leading":[74],"several":[76],"large":[77],"providers":[79],"discontinuing":[80],"participation":[81],"program.":[84],"There":[85],"are":[86],"many":[87],"possible":[88],"remedies":[89],"under":[90],"consideration":[91],"make":[93],"program":[95,103],"work":[96],"better.":[97],"This":[98],"research":[99],"seeks":[100],"support":[102],"evaluation":[104],"well":[106,158],"potential":[108],"modifications":[109],"law":[112],"providing":[114],"baseline":[115],"data":[116,149,162],"compare":[118],"access":[119],"states":[123,129],"state-based":[125],"compared":[127],"federal":[131],"exchanges.":[132],"authors":[134],"perform":[135],"an":[136],"analysis":[137],"state":[139],"years":[142],"2012":[143],"2013":[145],"(pre-PPACA":[146],"implementation)":[147],"using":[148],"from":[150,163],"Current":[152],"Population":[153],"Survey":[154],"(U.S.":[155],"Census)":[156],"de-identified":[160],"claims":[161],"Inovalon,":[164],"Inc.":[165]},"counts_by_year":[],"updated_date":"2025-11-06T03:46:38.306776","created_date":"2025-10-10T00:00:00"}
