Health care transition from pediatric care to adult care: Opportunities and challenges under the Affordable Care Act

Lauren Webb, Parag K. Shah, James P. Harisiades, Rebecca Boudos, Rishi Agrawal*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Enrollment of young adults is foundational to the success of the Affordable Care Act (ACA). This article analyzes the implications for young adults transitioning from pediatric to adult care with the implementation of the ACA. We review the key characteristics of this population relevant to health care utilization and access as well as the impact of private insurance market reforms, health insurance marketplaces, Medicaid expansion, and workforce development provisions on this population. We then analyze how reform is impacting and will continue to impact specific populations of young adults, including individuals with disabilities, college students, immigrants, young adults who age out of the foster care system and individuals involved with the criminal justice system. Finally, we look at the socio-economic and political factors influencing outreach efforts, and make recommendations to maximize the benefits of the law for young adults to empower them to have access to care and financial security.

Original languageEnglish (US)
Pages (from-to)53-64
Number of pages12
JournalJournal of pediatric rehabilitation medicine
Volume8
Issue number1
DOIs
StatePublished - Jan 1 2015

Keywords

  • ACA
  • Medicaid expansion
  • children with special healthcare needs
  • college students
  • criminal justice system
  • foster care
  • health care reform
  • health disparities
  • health policy
  • immigrants
  • insurance
  • long-term care
  • pediatric systems
  • uninsured
  • young adults

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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