How the ACA dented the cost curve

Melinda Beeuwkes Buntin, John A. Graves

Research output: Contribution to journalReview articlepeer-review

Abstract

Numerous provisions of the Affordable Care Act (ACA) were designed to make health care more affordable, yet the act’s cumulative effects on health care costs are still debated. A key question is whether or not the ACA reduced the annual rate at which total national health care spending increased and brought per capita spending growth rates down. We review the direct and indirect effects of the ACA on spending across segments of the health insurance market. We highlight areas where the ACA has affected spending, but we emphasize that the ACA’s long-run impact on spending will depend on sustaining the adjustments made to provider payment systems and expanding the emphasis on value across payers throughout the ACA’s second decade and beyond.

Original languageEnglish (US)
Pages (from-to)403-412
Number of pages10
JournalHealth Affairs
Volume39
Issue number3
DOIs
StatePublished - Mar 2020
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine

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