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Research Letter
Health Care Reform
August 2018

Health Insurance for Asian Americans, Native Hawaiians, and Pacific Islanders Under the Affordable Care Act

Author Affiliations
  • 1Harvard T. H. Chan School of Public Health, Boston, Massachusetts
  • 2Washington University School of Medicine, St Louis, Missouri
  • 3Harvard Kennedy School, Cambridge, Massachusetts
JAMA Intern Med. 2018;178(8):1128-1129. doi:10.1001/jamainternmed.2018.1476

Since passage of the 2010 Affordable Care Act (ACA), more than 20 million Americans have gained health insurance.1 While previous analyses have documented coverage gains for most major racial/ethnic populations, virtually no attention has been focused on Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPIs).2 The fastest growing US racial/ethnic group,3 AANHPIs comprise an extraordinarily heterogeneous group of people. They represent more than 50 ethnicities and speak 100 languages. We analyzed (1) the extent of post-ACA health insurance coverage gains for AANHPIs; and (2) whether disparities in coverage—both between AANHPIs and other major groups, as well as within major AANHPI subgroups—have narrowed over time.

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