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Posted: April 17th, 2023

Evaluation of the Affordable Care Act (ACA)

Select an existing healthcare program or policy evaluation or choose one of interest to you.

Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

Post an evaluation topic and a brief description of the evaluation. Discuss how social determinants impact this issue.

please provide at least 3 references!

Evaluation Topic: Evaluation of the Affordable Care Act (ACA)

The Affordable Care Act (ACA) is a comprehensive health care reform law passed in 2010. The ACA aimed to increase the number of Americans with health insurance coverage and to improve the quality and affordability of health care. The ACA has been a controversial policy, and its effectiveness has been evaluated using various criteria.

One way to measure the effectiveness of the ACA is by looking at its impact on the uninsured rate. According to a study by the Commonwealth Fund, the uninsured rate among working-age adults decreased from 20% in 2010 to 12% in 2018, indicating that the ACA has been effective in increasing insurance coverage. Another criterion is the affordability of health care. The ACA implemented various cost containment measures, including subsidies for low-income individuals and small businesses, and the expansion of Medicaid. Studies have shown that the ACA has reduced the cost of health care for many Americans, particularly those with low incomes.

Social determinants of health, such as poverty and race, can impact the effectiveness of the ACA. For example, low-income individuals may have difficulty accessing health care due to a lack of transportation or childcare. Racial disparities in health care access and outcomes have also been documented, and the ACA’s effectiveness in reducing these disparities has been debated.


The Commonwealth Fund. (2019). The Affordable Care Act’s Impact on Coverage and Access to Care.
Sommers, B. D., Gawande, A. A., & Baicker, K. (2017). Health Insurance Coverage and Health—What the Recent Evidence Tells Us. New England Journal of Medicine, 377(6), 586–593.
National Academies of Sciences, Engineering, and Medicine. (2017). Communities in Action: Pathways to Health Equity. Washington, DC: The National Academies Press.

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