By Lauren E. Wisk, Alon Peltz, and Alison A. Galbraith, JAMA Pediatrics, September 28, 2020
Key Points
Question Is the Affordable Care Act (ACA) associated with a change in health care–related financial burden for families with children?
Findings In this cohort study of US families with children using a difference-in-differences design, low- and middle-income families experienced a larger reduction in out-of-pocket costs after initiation of the ACA compared with higher income families who were less likely to benefit from ACA policies.
Meaning The findings of this study suggest that, although many ACA policies were adult focused, low- and middle-income families with children have benefited from reduced financial burden, but the amount of financial hardship post–ACA implementation remains substantial.
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