Medicaid/CHIP Participation Reached 93.7 Percent Among Eligible Children In 2016

Haley, Jennifer; Kenney, Genevieve M.; Wang, Robin; Lynch, Victoria; Buettgens, Matthew

doi:10.1377/hlthaff.2018.0417

Cited by 11 publications

(17 citation statements)

References 4 publications

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“… 3. The estimated take-up rate for children without private coverage of 94.1% is very close to the 93.7% published by authors using American Community Survey data for 2016 (Haley et al, 2018). …”

supporting

confidence: 79%

“…First, although income and eligibility fluctuate during the year, eligibility was determined using income for the full calendar year. Following previous literature (Haley et al, 2018), we therefore dropped some individuals who report being enrolled in Medicaid though we classify them as ineligible. Second, respondents are known to underreport Medicaid coverage in household surveys, a phenomenon known as the “Medicaid undercount,” which could lead to underestimates of Medicaid participation rates.…”

Section: Methodsmentioning

confidence: 99%

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Eligibility for and Enrollment in Medicaid Among Nonelderly Adults After Implementation of the Affordable Care Act

2021

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The Affordable Care Act’s (ACA) Medicaid expansion resulted in substantial gains in coverage. However, little research has documented eligibility or participation rates among eligible adults in the post-ACA period in part because of the complexities involved in assigning eligibility status. We used simulation modeling to examine Medicaid eligibility and participation during 2014 to 2017. More than one in five adults were Medicaid eligible in expansion states in the post-ACA period. In contrast, about one in 30 adults were Medicaid eligible in nonexpansion states. While eligibility rates differed substantially by expansion status, participation rates among Medicaid-eligible adults were similar in both sets of states (44% to 46%). These estimates indicate that differences in eligibility rather than in participation rates explained differences in enrollment between expansion and nonexpansion states during the study period. Participation in Medicaid is expected to grow during the coronavirus pandemic. Our study provides baseline estimates for future analyses of enrollment trends.

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supporting

confidence: 79%

Section: Methodsmentioning

confidence: 99%

Eligibility for and Enrollment in Medicaid Among Nonelderly Adults After Implementation of the Affordable Care Act

2021

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“…Although we break out Medicaid participation by different categorical eligibility groups, we hypothesize broad spillover effects from the various changes in insurance access driven by the ACA (Cutler and Gruber ; Haley et al ; Kronebusch and Elbel ). While the Medicaid expansion (expanding Medicaid eligibility to 138 percent FPL for able‐bodied adults without dependents) should primarily increase participation in this categorical eligibility group, reductions in administrative burden are generally targeted toward either adults or dependents but not both.…”

Section: Methodsmentioning

confidence: 99%

Administrative Easing: Rule Reduction and Medicaid Enrollment

Fox

Stazyk

Feng

2019

Public Administration Review

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Administrative burden is widely recognized as a barrier to program enrollment, denying legal entitlements to many potentially eligible individuals. Building on recent research in behavioral public administration, this article examines the effect of voluntary state reductions in administrative burden (administrative easing) on Medicaid enrollment rates using differential implementation of the Affordable Care Act. Using a novel data set that includes state-level data on simplified enrollment and renewal procedures for Medicaid from 2008 to 2017, the authors examine how change in Medicaid enrollment is conditioned by the adoption of rule-reduction procedures. Findings show that reductions in the administrative burden required to sign up for Medicaid were associated with increased enrollments. Real-time eligibility and reductions in enrollment burden were particularly impactful at increasing enrollment for both children and adults separate from increases in Medicaid income eligibility thresholds. The results suggest that efforts to ease the cognitive burden of enrolling in entitlement programs can improve take-up. Evidence for Practice• The administrative burden associated with enrolling in social safety net programs in the United States imposes high costs on applicants. As a consequence, many eligible individuals do not receive the benefits that they are lawfully entitled to. • Insights from behavioral economics, including streamlining of the enrollment process and automated benefit determinations, can be effectively employed-in some cases-to reduce the cognitive burden associated with program enrollment processes and increase take-up of benefits. • States that have implemented simple changes to enrollment processes, including administrative verification of income and real-time decision-making, have seen greater increases in Medicaid enrollments than those that did not implement such changes.is primarily interested in policies that could work for obesity prevention, with a focus on the feasibility and effectiveness of policies.Her research investigates how state and local health departments shape policies and their effects on individual health. She also studies safety net programs and how statelevel program variances lead to different health outcomes.

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“…The American Community Survey (ACS) began asking about health insurance in 2008 and has emerged as a popular dataset for health policy analysis . The survey collects information from over 4 million people annually.…”

Section: Introductionmentioning

confidence: 99%

Medicaid expansion and the Medicaid undercount in the American Community Survey

Boudreaux

Noon

Fried

et al. 2019

Health Services Research

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Objective To measure discordance between aggregate estimates of means‐tested coverage from the American Community Survey (ACS) and administrative counts and examine the association of discordance with ACA Medicaid expansion. Data Sources 2010‐2016 ACS and counts of Medicaid and Children's Health Insurance Program enrollment from the Centers for Medicare & Medicaid Services. Study Design State‐by‐year counts of means‐tested coverage from the ACS were compared to administrative counts using percentage differences. Discordance was compared for states that did and did not adopt expansion using difference‐in‐differences. We then contrasted the effect of expansion on means‐tested coverage estimated from the ACS with results from administrative data. Data Collection/Extraction Survey and administrative data. Principal Findings One year before expansion there was a 0.8 and 4 percent overcount in expansion and nonexpansion states, respectively. By 2016, there was a 10.64 percent undercount in expansion states vs a 0.02 percent undercount in nonexpansion states. The ACS suggests that expansion increased means‐tested coverage in the full population by three percentage points, relative to five percentage points suggested by administrative records. Conclusions Discordance between the ACS and administrative records has increased over time. The ACS underestimates the impact of Medicaid expansion, relative to administrative counts.

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Medicaid/CHIP Participation Reached 93.7 Percent Among Eligible Children In 2016

Cited by 11 publications

References 4 publications

Eligibility for and Enrollment in Medicaid Among Nonelderly Adults After Implementation of the Affordable Care Act

Eligibility for and Enrollment in Medicaid Among Nonelderly Adults After Implementation of the Affordable Care Act

Administrative Easing: Rule Reduction and Medicaid Enrollment

Medicaid expansion and the Medicaid undercount in the American Community Survey

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