Issue title: Transition, Part 2
Article type: Research Article
Authors: Webb, Lauren; | Shah, Parag K.; | Harisiades, James P.; | Boudos, Rebecca; | Agrawal, Rishi;
Affiliations: 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 | Ann & Robert H. Lurie Children's Hospital of
Chicago, Transition Program, Chicago, IL, USA | Feinberg School of Medicine, Northwestern University,
Chicago, IL, USA | Ann & Robert H. Lurie Children's Hospital of
Chicago, Chicago, IL, USA | Office of Child Advocacy, Chicago, IL, USA | Department of Family Services, Chicago, IL, USA
Note: [] Corresponding author: Rishi Agrawal, 225 E. Chicago Ave, Box
152, Chicago, IL 60611, USA. Tel.: +1 773 501 2743; Fax: +1 773 363 1488;
E-mail: ragrawal@luriechildrens.org
Abstract: 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.
Keywords: ACA, health policy, young adults, children with special healthcare needs, health care reform, Medicaid expansion, insurance, uninsured, pediatric systems, college students, immigrants, foster care, long-term care, criminal justice system, health disparities
DOI: 10.3233/PRM-150318
Journal: Journal of Pediatric Rehabilitation Medicine, vol. 8, no. 1, pp. 53-64, 2015
Received 15 August 2014
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Accepted 15 August 2014
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Published: 2015
