The Affordable Care Act Special Collection was actively curated from 2010 until 2018. A bibliography .csv file detailing the contents of the collection is available to download (see “Explore” menu). Titles continue to be accessible, but the collection is no longer actively curated.

Archived date: August 29, 2022

Collection title: Affordable Care Act Special Collection

Collection URL:

Availability: 2010-2018

Title count: 274 titles

Creator: IssueLab, a service of Candid.

Description: The passage of the Affordable Care Act represents an historic change in the way health insurance has been handled in the United States. With political discourse about the act continuing to occupy public policy debates and the news media, this collection attempts to shed light on the impact of the policy on citizens and providers as well as examine how the ACA is affecting quality, access, and costs of care.

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The Affordable Care Act and Access to Care for People Changing Coverage Sources

November 1, 2015

Objectives. We investigated how access to and continuity of care might be affected by transitions between health insurance coverage sources, including the Marketplace (also called the Exchange), Medicaid, and the Children's Health Insurance Program (CHIP).Methods. From January to February 2014 and from August to September 2014, we searched provider directories for networks of primary care physicians and selected pediatric specialists participating in Marketplace, Medicaid, and CHIP in 6 market areas of the United States and calculated the degree to which networks overlapped.Results. Networks of physicians in Medicaid and CHIP were nearly identical, meaning transitions between those programs may not result in much physician disruption. This was not the case for Marketplace and Medicaid and CHIP networks.Conclusions. Transitions from the Marketplace to Medicaid or CHIP may result in different degrees of physician disruption for consumers depending on where they live and what type of Marketplace product they purchase.