Does healthcare insurance status impact blood pressure control before and after the Affordable Care Act in U.S. adults?
Public healthcare insurance continues to mitigate the effects of adverse social determinants on blood pressure control post-ACA, maintaining parity with private insurance.
In this U.S. population-based study, blood pressure control was not different for publicly and privately insured adults pre- and post-ACA, although lower for uninsured adults. Public healthcare insurance appeared to continue mitigating effects of adverse social determinants on blood pressure control post-ACA, despite the increase in publicly insured adults.
Egan et al. (2026) studied this question.