Projecting the Impact of the Affordable Care Act Provisions on Accessibility and Availability of Primary Care Providers for the Adult Population in Georgia.
To evaluate how met need for accessibility and availability of primary care among nonelderly individuals in Georgia will be affected by the Patient Protection and Affordable Care Act (ACA) over the next 10 years.



We used a stock-and-flow model to predict the number of available visits from 2013 to 2025, regression models to project needed visits, and an optimization model to estimate met need. The outputs of these models were used to estimate unmet need and the availability and accessibility of primary care.



Our findings showed that the number of primary care providers will increase by 9.2% to 11.7% by 2025 and that the number of needed visits will increase by 20%. Under Medicaid expansion, the percentage of met need will increase from 67% to 80%. Accessibility will improve by 20% under expansion, and availability will decrease by 13% to 19% under expansion.



The ACAs' provisions will reduce unmet need and positively affect accessibility while reducing availability in some communities. Increased need because of a larger Medicaid population under Medicaid expansion will not be a significant burden on the privately insured population.
Monica Gentili is with the Industrial Engineering Department, University of Louisville, Louisville, KY. Pravara Harati and Nicoleta Serban are with the Industrial and System Engineering Department, Georgia Institute of Technology, Atlanta.
Monica
M
Gentili
Monica Gentili is with the Industrial Engineering Department, University of Louisville, Louisville, KY. Pravara Harati and Nicoleta Serban are with the Industrial and System Engineering Department, Georgia Institute of Technology, Atlanta.
Pravara
P
Harati
Monica Gentili is with the Industrial Engineering Department, University of Louisville, Louisville, KY. Pravara Harati and Nicoleta Serban are with the Industrial and System Engineering Department, Georgia Institute of Technology, Atlanta.
Nicoleta
N
Serban
D000328:Adult; D005260:Female; D005845:Georgia; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008484:Medicaid / Q000706:statistics & numerical data*; D017057:Medically Uninsured / Q000706:statistics & numerical data; D008875:Middle Aged; D058991:Patient Protection and Affordable Care Act / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000706:statistics & numerical data*; D014481:United States; D055815:Young Adult