Are Adults in Poor Health More Likely to Enroll in Public Insurance?

Busch, Susan H.; Vigdor, Elizabeth Richardson

doi:10.5034/inquiryjrnl_45.04.380

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…To isolate the effect attributable to expanded eligibility for Medicaid coverage, the sample was restricted to adults with incomes below 100% of the federal poverty limit (FPL). Though the BRFSS contains fairly coarse income categories, we used an imputation method following previous studies using the midpoint of each category and applying the federal poverty guidelines to impute each observation's total household income as a ratio to the FPL . i The supplemental match dollars to support expansion under the ACA allow states to extend Medicaid eligibility to all low‐income adults below 138% FPL; however, the subsidies to purchase private health insurance coverage in the nongroup marketplace are extended to adults whose incomes are at least 100% FPL.…”

Section: Methodsmentioning

confidence: 99%

US Health Care Reform and Rural America: Results From the ACA's Medicaid Expansions

Benitez

Seiber²

2017

The Journal of Rural Health

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Section: Methodsmentioning

confidence: 99%

US Health Care Reform and Rural America: Results From the ACA's Medicaid Expansions

Benitez

Seiber²

2017

The Journal of Rural Health

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“…Their gains from coverage are likely to be substantial, providing a strong incentive to enroll. 26 Alternatively, poor health and functioning and a relatively lower level of education 26, 27 may amplify non-financial enrollment costs, including time, transportation, and administrative complexity. No analogous research has examined the correlates of uninsurance for adult SSI beneficiaries or the potential role of state Medicaid eligibility and enrollment policy.…”

Section: Introductionmentioning

confidence: 99%

Uninsurance and its Correlates among Poor Adults with Disabilities

Burns¹,

O’Hara²,

Huskamp³

et al. 2012

hpu

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States must offer Medicaid coverage to poor adults with disabilities; however, they have discretion in the design of eligibility criteria and enrollment processes. Using the American Community Survey, we examined the health insurance status of adults enrolled in the Supplemental Security Income (SSI) disability program including (1) the national rate of health insurance coverage; (2) state rates of uninsurance and Medicaid; and (3) the correlates of uninsurance. Uninsurance and Medicaid rates varied across states from 1% to 12% and from 63% to 91%, respectively. Nationally, 5% of the SSI population was uninsured; 77% was enrolled in Medicaid. Limited English proficiency, Black race, lack of U.S. citizenship, and residence in a state that used an enrollment process and/or eligibility criteria distinct from the SSI program were associated with uninsurance. As states streamline Medicaid enrollment processes to meet requirements of the Affordable Care Act, they should consider the needs of this vulnerable population.

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Psychological Distress and Enrollment in Medicaid

Gonzales

Golberstein

Hill

et al. 2016

J Behav Health Serv Res

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Adults with poor mental health may want and need insurance to obtain care, but symptoms may impede enrollment into public health insurance. This study compares Medicaid enrollment responses to eligibility expansions by mental health status using a sample of non-elderly adults in both the 2000-2011 Medical Expenditure Panel Survey and the National Health Interview Survey (N = 27,494). The impact of Medicaid income eligibility thresholds (defined as the maximum family income level allowed in each state to be considered eligible for Medicaid) on Medicaid enrollment was estimated from linear regression models allowing for differential enrollment responses by mental and physical health status. Increasing income eligibility thresholds by 100% of the federal poverty level (FPL) was associated with a five-percentage-point increase in the probability of Medicaid enrollment in the non-disabled population under 300% FPL. The enrollment response to Medicaid expansions prior to the Affordable Care Act was stronger for adults symptomatic of psychological distress compared with adults without distress and compared to adults with chronic physical health problems.

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Are Adults in Poor Health More Likely to Enroll in Public Insurance?

Cited by 3 publications

References 21 publications

US Health Care Reform and Rural America: Results From the ACA's Medicaid Expansions

US Health Care Reform and Rural America: Results From the ACA's Medicaid Expansions

Uninsurance and its Correlates among Poor Adults with Disabilities

Psychological Distress and Enrollment in Medicaid

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