Webb Lauren, Shah Parag K, Harisiades James P, Boudos Rebecca, Agrawal Rishi
School of Social Services Administration, University of Chicago, Chicago, IL, USA Ann & Robert H. Lurie Children's Hospital of Chicago, Neuromuscular Program, Chicago, IL, USA.
Ann & Robert H. Lurie Children's Hospital of Chicago, Transition Program, Chicago, IL, USA Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
J Pediatr Rehabil Med. 2015;8(1):53-64. doi: 10.3233/PRM-150318.
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.
年轻人的参保是《平价医疗法案》（ACA）成功的基础。本文分析了随着ACA的实施，年轻人从儿科护理过渡到成人护理所带来的影响。我们回顾了与医疗保健利用和可及性相关的这一人群的关键特征，以及私人保险市场改革、医疗保险市场、医疗补助扩大和劳动力发展条款对这一人群的影响。然后，我们分析改革如何正在并将继续影响特定的年轻人群体，包括残疾人士、大学生、移民、脱离寄养系统的年轻人以及涉及刑事司法系统的个人。最后，我们审视影响宣传工作的社会经济和政治因素，并提出建议，以最大限度地提高该法律对年轻人的益处，使他们能够获得医疗服务并实现经济保障。
