G2TT
来源类型Research Reports
规范类型报告
DOIhttps://doi.org/10.7249/RR1736
ISBN9780833097118
来源IDRR-1736-RWJ
The Effect of the 2014 Medicaid Expansion on Insurance Coverage for Newly Eligible Childless Adults
Michael Dworsky; Christine Eibner
发表日期2016
出版年2016
页码60
语种英语
结论

Overall Coverage Analyses

  • The results corroborate findings from other data sources that insurance coverage increases were larger in states that expanded Medicaid. These estimates add to the existing literature because the treatment and control groups were more narrowly defined to exclude those previously eligible for Medicaid and those directly affected by other coverage expansions. By focusing on the group most likely to gain Medicaid eligibility (nondisabled low-income childless adults) and on states that implemented the Medicaid expansion in 2014, this study clarifies the important role played by increased Medicaid coverage in previously reported coverage gains.
  • The authors found very little evidence of differential changes in private coverage between expansion and nonexpansion states. Estimates by insurance type yielded no significant evidence that the Medicaid expansion crowded out private coverage in the first year of the 2014 coverage expansion.
  • While the authors found substantial increases in Medicaid coverage, take-up over the first year of the 2014 Medicaid expansion was limited relative to the size of the Medicaid-eligible uninsured population.

Subgroup Analyses

  • Take-up was lower among men (compared with women), Hispanics and members of other racial/ethnic groups (compared with non-Hispanic whites and Blacks), and adults under age 36 (compared with older adults).
  • Newly eligible adults in fair or poor health were more likely to gain Medicaid coverage than healthier adults.
  • Heterogeneity across demographic groups in coverage gains and Medicaid take-up among nondisabled childless adults in poverty were often quite different from the patterns observed among all adults, with women and older adults more likely to gain Medicaid coverage than men and younger adults.
主题Adult Populations ; Affordable Care Act ; Health Insurance ; Medicaid ; United States
URLhttps://www.rand.org/pubs/research_reports/RR1736.html
来源智库RAND Corporation (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/108284
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Michael Dworsky,Christine Eibner. The Effect of the 2014 Medicaid Expansion on Insurance Coverage for Newly Eligible Childless Adults. 2016.
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