The Effect of the 2014 Medicaid Expansion on Insurance Coverage for Newly Eligible Childless Adults

Dworsky, Michael; Eibner, Christine

doi:10.7249/rr1736

Cited by 9 publications

(16 citation statements)

References 27 publications

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“…Given the complex survey design of the BRFSS, models are generally estimated using survey design estimation methods. However, considering that Medicaid expansion decisions were made at the state level, a good case can be made that error terms are likely to be more strongly correlated within states across time periods (Dworsky & Eibner, 2016). Accordingly, cases were weighted by BRFSS final survey weights and standard errors of all coefficient estimates were adjusted for clustering within states.…”

Section: Difference-in-differences Model Resultsmentioning

confidence: 99%

“…Accordingly, cases were weighted by BRFSS final survey weights and standard errors of all coefficient estimates were adjusted for clustering within states. This approach should produce more conservative inferences relative to inferences using the BRFSS design variables since survey strata are nested within states (Dworsky & Eibner, 2016). Although separate DD models were estimated for each racial/ethnic subgroup, estimation information from all subgroups was pooled together using the Stata seemingly unrelated estimation procedure, suest.…”

Section: Difference-in-differences Model Resultsmentioning

confidence: 99%

“…Simon et al (2016) assigned Wisconsin to the treatment group since enrollment caps on childless adults with incomes below 100% of the FPL were removed from BadgerCare in 2014. In contrast Dworsky and Eibner (2016) assigned Wisconsin to the control group even though they sought to exclude all states which extended Medicaid eligibility to any nonelderly childless adults prior to 2014. 6.…”

Section: Notesmentioning

confidence: 99%

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The Effect of the Affordable Care Act Medicaid Expansion on Disparities in Access to Care and Health Status

Lee

Porell

2018

Med Care Res Rev

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Before the Affordable Care Act Medicaid expansion, nonelderly childless adults were not generally eligible for Medicaid regardless of their income, and Hispanics had much higher uninsured rates than other racial/ethnic subgroups. We estimated difference-in-differences models on Behavioral Risk Factor Surveillance data (2011-2016) to estimate the impacts of Medicaid expansion on racial/ethnic disparities in insurance coverage, access to care, and health status in this vulnerable subpopulation. Uninsured rates among all poor childless adults declined by roughly 9 percentage points more in states that expanded Medicaid. While expansion also had favorable impacts on most access and health outcomes among Whites in expansion states, there were relatively few such impacts among Blacks and Hispanics. Through 2016, Affordable Care Act Medicaid expansion was more effective in improving access and health outcomes among White low-income childless adults than mitigating racial/ethnic disparities.

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Section: Difference-in-differences Model Resultsmentioning

confidence: 99%

Section: Difference-in-differences Model Resultsmentioning

confidence: 99%

Section: Notesmentioning

confidence: 99%

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The Effect of the Affordable Care Act Medicaid Expansion on Disparities in Access to Care and Health Status

Lee

Porell

2018

Med Care Res Rev

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“…Expanded eligibility is having a disproportionately positive impact on adult men compared to women because men have historically been less often Medicaid-eligible [1]. Indeed, Medicaid expansion states are experiencing post-ACA gains in insurance coverage among newly eligible childless men [3]. For example, in the setting of expanded Medicaid eligibility, the probability of insurance coverage among men increased by 14.2 percentage points [3].…”

Section: Introductionmentioning

confidence: 99%

“…Indeed, Medicaid expansion states are experiencing post-ACA gains in insurance coverage among newly eligible childless men [3]. For example, in the setting of expanded Medicaid eligibility, the probability of insurance coverage among men increased by 14.2 percentage points [3]. Furthermore, coverage gains are most pronounced among racial/ethnic minority men (e.g., non-Hispanic Blacks or African Americans)-populations with well-documented racial disparities in conditions amenable to treatment upon early detection [4,5].…”

Section: Introductionmentioning

confidence: 99%

The potential impact of the Affordable Care Act and Medicaid expansion on reducing colorectal cancer screening disparities in African American males

et al. 2020

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Few investigations have explored the potential impact of the Affordable Care Act on health disparity outcomes in states that chose to forgo Medicaid expansion. Filling this evidence gap is pressing as Congress grapples with controversial healthcare legislation that could phase out Medicaid expansion. Colorectal cancer (CRC) is a commonly diagnosed, preventable cancer in the US that disproportionately burdens African American men and has substantial potential to be impacted by improved healthcare insurance coverage. Our objective was to estimate the impact of the Affordable Care Act (increasing insurance through health exchanges alone or with Medicaid expansion) on colorectal cancer outcomes and economic costs among African American and White males in North Carolina (NC), a state that did not expand Medicaid. We used an individual-based simulation model to estimate the impact of ACA (increasing insurance through health exchanges alone or with Medicaid expansion) on three CRC outcomes (screening, stage-specific incidence, and deaths) and economic costs among African American and White males in NC who were age-eligible for screening (between ages 50 and 75) during the study period, years of 2013-2023. Health exchanges and Medicaid expansion improved simulated CRC outcomes overall, though the impact was more substantial among AAs. Relative to health exchanges alone, Medicaid expansion would prevent between 7.1 to 25.5 CRC cases and 4.1 to 16.4 per 100,000 CRC cases among AA and White males, respectively. Our findings suggest policies that expanding affordable, quality healthcare coverage could have a demonstrable, cost-saving impact while reducing cancer disparities.

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Child Support and the Affordable Care Act's Medicaid Expansions

Bullinger¹

2020

J Policy Anal Manage

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A quickly developing literature has shown that the Affordable Care Act's (ACA) Medicaid expansions have improved health insurance coverage, health, and financial well‐being among low‐income adults without dependent children. This population includes noncustodial parents. With substantial overlap in the population that is typically obligated to pay child support and the population that has strongly benefited from the expansions, there may be potential implications for child support enforcement. In this paper, I examine the effect of public health insurance eligibility to low‐income adults on child support outcomes. I find that the ACA Medicaid expansions increased child support distributed to custodial families as arrears by 8.5 percent. Evidence also suggests current support distributions increased by about 2 percent. There were no significant effects on paying toward a child support order. Among unmarried mothers, the likelihood of child support receipt increased by 8 percent. These results imply that access to public health insurance can increase the ability of noncustodial parents to pay child support.

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The Effect of the 2014 Medicaid Expansion on Insurance Coverage for Newly Eligible Childless Adults

Cited by 9 publications

References 27 publications

The Effect of the Affordable Care Act Medicaid Expansion on Disparities in Access to Care and Health Status

The Effect of the Affordable Care Act Medicaid Expansion on Disparities in Access to Care and Health Status

The potential impact of the Affordable Care Act and Medicaid expansion on reducing colorectal cancer screening disparities in African American males

Child Support and the Affordable Care Act's Medicaid Expansions

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