Study Findings from University of Southern Alabama Broaden Understanding of Federalism (Federalism and Public Opinion On Healthcare: the Design of the Affordable Care Act’s Insurance Exchanges and User Experience With the Exchanges)

2020 DEC 11 (NewsRx) -- By a News Reporter-Staff News Editor at Health Policy and Law Daily -- Fresh data on Federalism are presented in a new report. According to news originating from Mobile, Alabama, by NewsRx correspondents, research stated, “Using original survey data and the 2016 American National Election Study (ANES), we examine the effects of healthcare exchange type and user experience on individuals’ support for the Affordable Care Act (ACA). States are divided into three different types of ACA exchange implementation regimes: state-run exchanges, federally operated exchanges, and mixed state-federal exchanges.”

Our news journalists obtained a quote from the research from the University of Southern Alabama, “We hypothesize that individuals in states running their own exchanges will demonstrate greater support for the ACA and individuals with experience using the exchanges will exhibit greater levels of support for the ACA. Results from a survey conducted in 2016 in Alabama (a federal exchange), Kentucky (a state exchange at the time), and Arkansas (a mixed state-federal exchange) support these hypotheses. These findings are also confirmed using national data from the ANES.”

According to the news editors, the research concluded: “We therefore provide evidence that local control over healthcare implementation leads to better outcomes in terms of citizen satisfaction and that citizens who have experience with exchanges established by the ACA are more likely to feel positively about the law.”

This research has been peer-reviewed.

For more information on this research see: Federalism and Public Opinion On Healthcare: the Design of the Affordable Care Act’s Insurance Exchanges and User Experience With the Exchanges. Publius The Journal of Federalism, 2020;50(1):55-80. Publius The Journal of Federalism can be contacted at: Oxford Univ Press, Great Clarendon St, Oxford OX2 6DP, England.

The news correspondents report that additional information may be obtained from Scott Liebertz, University of Southern Alabama, Mobile, AL 36688, United States. Additional authors for this research include Jaclyn Bunch and Thomas Shaw.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1093/publius/pjz002. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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