142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

307612
Alabama Resident's Knowledge, Attitudes and Behaviors Related to the Affordable Care Act (ACA)

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Justin Blackburn, PhD , Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL
Peter M. Ginter, PhD , Health Care Organization and Policy, University of Alabama at Birmingham School of Public Health, Birmingham, AL
Michael Morrisey, PhD , Department of Health Care Organization and Policy, School of Public Health, Univesity of Alabama at Birmingham, Birmingham, AL
Andrew C. Rucks, PhD , Department of Health Care Organization and Policy, University of Alabama at Birmingham School of Public Health, Birmingham, AL
The Lister Hill Center for Health Policy in the School of Public Health at UAB sponsored survey research to assess the knowledge, attitudes and behaviors of Alabama resident’s ages 19 through 64 related to health insurance and the ACA. The telephone survey was conducted from October 1 through October 31, 2013 using a random digit dialing, stratified by Public Health Area.  Results showed that knowledge of the ACA is limited with 45% of Alabama residents reporting that they knew little of nothing about the ACA and nearly 60% reported that they knew little or nothing about the health insurance market place.  Over 54% had not heard if Alabama was expanding Medicaid; however, over 60% believe that Alabama should expand Medicaid. Only 35% said that they supported the ACA; however, 50% said individuals should be required to have health insurance, 71% thought that large employers should be required to provide insurance, 65% indicated that people with pre-existing conditions should not pay more, only 15% thought that penalties should be imposed for those without insurance, 72% indicated that there should be subsidies for low income people, and 67% said that children should be included on their parents policies to age 26.  It appears that although there is opposition to the ACA by the Governor and public in general, many of the provisions of the ACA are supported by Alabama residents.  Similarly, although the Governor and legislature have failed to act on Medicaid expansion there appears to be general support among the population.

Learning Areas:

Assessment of individual and community needs for health education
Biostatistics, economics
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health administration or related administration
Public health or related public policy

Learning Objectives:
Demonstrate that in a very “red” state there is significant public support for the provisions of the ACA and Medicaid expansion. Describe the knowledge, attitudes, and beliefs of Alabamians related to health insurance, the ACA, and Medicaid expansion. Assess the criteria that Alabamians judge the ACA and Medicaid expansion to be successful. Describe the Alabamians perceptions of the ACA and Medicaid expansion.

Keyword(s): Affordable Care Act, Medicaid

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Peter M. Ginter, Ph.D is Professor in the Department of Health Care Organization and Policy and Director of the South Central Preparedness and Emergency Response Learning Center in the School of Public Health at the University of Alabama at Birmingham. He is the author or co-author of sixteen books including Strategic Management of Health Care Organizations, 7th ed. (2013) with Swayne and Duncan and has published more than 150 articles, papers, and cases.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.