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VOLUME 53 | NUMBER 3 | JUNE 2018

Intra-Ethnic Coverage Disparities among Latinos and the Effects of Health Reform

Objective: To examine the patterns of insurance coverage among nine Latino subgroups and assess heterogeneous effects of the Affordable Care Act (ACA) among these groups.

Data Sources: American Community Survey (2010–2014).

Study Design: We examined preACA disparities in coverage using linear probability models. Then, we used interrupted time series and tripledifference models to evaluate coverage changes associated with the ACA and Medicaid expansion, respectively.

Principal Findings: PreACA coverage disparities between Latino subgroups were nearly 30 percentage points—larger than the gap between whites and Latinos as a whole. Coverage changes associated with the ACA and Medicaid expansion differed significantly between subgroups, with the largest gains among South Americans, Central Americans, and Mexicans.

Conclusions: Latino subgroups show marked heterogeneity in baseline coverage rates and responses to the ACA.

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