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Following implementation of several major coverage expansion provisions in the Affordable Care Act

ACA Provisions Tied to Change in Profile of Frequent ER Users

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After controlling for patient-level characteristics, odds of being frequent ER user down in Medicaid-insured
Women in insurance plans with the greatest drop in out-of-pocket cost after the Affordable Care Act's contraceptive mandate had the greatest gains in intrauterine device placement

Number of IUD Insertions Up After ACA Contraceptive Mandate

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Increase in use depends on the amount of reduction in out-of-pocket costs
The Affordable Care Act's Marketplaces covered a disproportionate share of non-elderly adults with high health care risks in the 2014 to 2015 time period

ACA Marketplaces Expand Coverage for Chronically Ill

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Enrollees have more chronic conditions, health care use versus other privately insured individuals
Cancer survivors are more likely to have difficulty accessing and affording health care

ACA Has Provided Better Access to Care for Cancer Survivors

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From 2010 to 2016, decrease seen each year in proportion of survivors reporting delayed medical care
For adults aged 18 to 64 years with diabetes

Coverage Increased After ACA for Patients With Diabetes

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Health insurance coverage up from 2009 to 2016 among adults with diabetes aged 18 to 64 years
The Affordable Care Act dependent coverage provision is associated with increased early and adequate prenatal care and decreased preterm births

ACA Dependent Coverage Tied to Increased Prenatal Care

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Increased early, adequate prenatal care, decreased preterm birth, especially among unmarried women
In their first year

Early-Stage Cancer Diagnoses Up With ACA’s Medicaid Expansions

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Both overall and early diagnosis of cancer increased in first year of expansions
Preventive care rates have increased moderately to modestly for adolescents since the passage of the Affordable Care Act but are still low overall

Preventive Care for Adolescents Up Since ACA Implementation

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Still, most adolescents are not going to well visits, and overall preventive care rates are low
After adoption of the Affordable Care Act

Incidence of Early-Stage Breast CA, CRC Up With ACA Adoption

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No change in incidence of locally advanced or metastatic-stage cancer after ACA adoption
In the first year of the Affordable Care Act

Uninsurance Down by One-Third for Cancer Diagnoses in 2014

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Significant decreases in uninsurance seen across all stages and sites assessed in first year of ACA