Abstract
The Affordable Care Act (ACA) of 2010 placed a substantial emphasis on public health and prevention. Subsequent research on its effects reveals some notable successes and some missteps and offers important lessons for future legislators. The ACA's Prevention and Public Health Fund, intended to give public health budgetary flexibility, provided crucial funding for public health services during the Great Recession but proved highly vulnerable to subsequent budget cuts. Several programs that aimed to increase strategic thinking and planning around public health at the state level have proven to be more enduring, suggesting that the convening authority of the federal government can be a powerful tool for progress, especially when buttressed by some funding. Most important, by expanding insurance and mandating a minimum level of coverage, the ACA both increased access to clinical preventive services and freed up local public health budgets to engage in population health activities.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 507-524 |
| Number of pages | 18 |
| Journal | Annual Review of Public Health |
| Volume | 39 |
| DOIs | |
| State | Published - Apr 1 2018 |
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Keywords
- Affordable Care Act
- capacity
- incentives
- prevention
- public health
- reform
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
Cite this
Promoting Prevention under the Affordable Care Act. / Chait, Nadia; Glied, Sharon.
In: Annual Review of Public Health, Vol. 39, 01.04.2018, p. 507-524.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Promoting Prevention under the Affordable Care Act
AU - Chait, Nadia
AU - Glied, Sharon
PY - 2018/4/1
Y1 - 2018/4/1
N2 - The Affordable Care Act (ACA) of 2010 placed a substantial emphasis on public health and prevention. Subsequent research on its effects reveals some notable successes and some missteps and offers important lessons for future legislators. The ACA's Prevention and Public Health Fund, intended to give public health budgetary flexibility, provided crucial funding for public health services during the Great Recession but proved highly vulnerable to subsequent budget cuts. Several programs that aimed to increase strategic thinking and planning around public health at the state level have proven to be more enduring, suggesting that the convening authority of the federal government can be a powerful tool for progress, especially when buttressed by some funding. Most important, by expanding insurance and mandating a minimum level of coverage, the ACA both increased access to clinical preventive services and freed up local public health budgets to engage in population health activities.
AB - The Affordable Care Act (ACA) of 2010 placed a substantial emphasis on public health and prevention. Subsequent research on its effects reveals some notable successes and some missteps and offers important lessons for future legislators. The ACA's Prevention and Public Health Fund, intended to give public health budgetary flexibility, provided crucial funding for public health services during the Great Recession but proved highly vulnerable to subsequent budget cuts. Several programs that aimed to increase strategic thinking and planning around public health at the state level have proven to be more enduring, suggesting that the convening authority of the federal government can be a powerful tool for progress, especially when buttressed by some funding. Most important, by expanding insurance and mandating a minimum level of coverage, the ACA both increased access to clinical preventive services and freed up local public health budgets to engage in population health activities.
KW - Affordable Care Act
KW - capacity
KW - incentives
KW - prevention
KW - public health
KW - reform
UR - http://www.scopus.com/inward/record.url?scp=85044861588&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85044861588&partnerID=8YFLogxK
U2 - 10.1146/annurev-publhealth-040617-013534
DO - 10.1146/annurev-publhealth-040617-013534
M3 - Review article
VL - 39
SP - 507
EP - 524
JO - Annual Review of Public Health
JF - Annual Review of Public Health
SN - 0163-7525
ER -