Health care transition from pediatric care to adult care: opportunities and challenges under the Affordable Care Act.
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.
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.
Lauren
L
Webb
Ann & Robert H. Lurie Children's Hospital of Chicago, Transition Program, Chicago, IL, USA Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Parag K
PK
Shah
Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA Office of Child Advocacy, Chicago, IL, USA.
James P
JP
Harisiades
Ann & Robert H. Lurie Children's Hospital of Chicago, Transition Program, Chicago, IL, USA Department of Family Services, Chicago, IL, USA.
Rebecca
R
Boudos
Feinberg School of Medicine, Northwestern University, Chicago, IL, USA Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Rishi
R
Agrawal
D000328:Adult; D002908:Chronic Disease / Q000628:therapy*; D006233:Persons with Disabilities; D005260:Female; D018166:Health Care Reform; D006297:Health Services Accessibility / Q000458:organization & administration*; D006801:Humans; D008297:Male; D058991:Patient Protection and Affordable Care Act; D011320:Primary Health Care / Q000458:organization & administration; D060305:Transition to Adult Care / Q000458:organization & administration*; D014481:United States; D055815:Young Adult
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