promoting health for AYA males

October 27, 2014

UPDATE: The ACA and Young Males
 

While it will take a number of years before we have complete data, early information indicates that the Affordable Care Act (ACA) is benefiting young males' access to care through provisions that allow them to remain on their parents' health insurance policies after age 19. Under the ACA they are now eligible to age 26. 

As reported in a recent New York Times article, since 2010 three to four million people, mostly young adults, have become newly insured through this mechanism. This translates to a drop of 13 percentage points in the number of uninsured 19-25-year-olds, from 34 percent in 2010 to 21 percent in the first quarter of this year. As a result in years 2010 and 2011 health care expenditures for children and young adults (ages 0-25) grew faster than all other age groups; in 2012 expenditures for young adults ages 19-25 grew faster than any other age group, according to a report by the Health Care Cost Institute.

 

A recently released study on the ACA mandate found that after implementation of it, among people ages 18-25 with possible mental health disorders, mental health treatment increased by 5.3 percent and uninsured visits declined by 12.4 percentage points.


A May 2014 study on the health effects of the mandate found that the greatest improvement in health outcomes is among young males and college graduates. Insured young males had improvements in four major areas: 1) having a primary care doctor; 2) reporting excellent health; 3) having a well-patient visit; and 4) a reduction in obesity. The same study found that young males do not experience "a single statistically adverse effect" from the mandate. Still, according to another study, among adults in age groups 18-24 and 25 to 34 men were more likely than women to lack health insurance coverage.


The package of essential health benefits under the ACA will come up for review in 2017. By then additional data will have been collected on young males to support inclusion of a male package of benefits to parallel that for females already included in the law.

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The Partnership for Male Youth has emerged from the health related work of The Boys Initiative, a young nonprofit organization. In late 2012 the Initiative began researching the state of health care for adolescent and young adult (AYA) males, with an eye toward developing solutions to improve their health.  After an extensive literature search and discussions with over 100 individuals from a range of medical disciplines, and under the guidance of a multidisciplinary medical advisory board, the Initiative developed a groundbreaking resource for health care providers that the Partnership released in January 2014: the Health Provider Toolkit for Adolescent and Young Adult Males.   
Dennis J. Barbour, Esq.
Executive Director
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