The End of Obamacare

Medicaid Expansion, Mental Health, and Access to Care among Childless Adults with and without Chronic Conditions

“…These timely results are important to consider in light of continued calls for ACA repeal by President Trump and Republican legislators. 29,30 Our findings are consistent with studies of state Medicaid expansions prior to Medicaid expansion under the ACA. The Oregon Health Insurance Experiment, which randomized lowincome individuals to a Medicaid Blottery,^found that individuals who received Medicaid were significantly less likely to screen positive for depression and were more likely to report higher mental health-related quality of life.…”

Discontinuity of Medicaid Coverage

“…In the current political landscape, however, the future of Medicaid and key ACA provisions remains uncertain. 47 If Medicaid churning is exacerbated by stricter, more frequent eligibility redetermination requirements, as states renew efforts to seek cost-savings in Medicaid, 23,48 this churning may lead to spillover adverse health consequences and associated acute care cost among select vulnerable subgroups, which would reduce these savings. More research is needed to understand how shifting eligibility rules and other changes affect coverage stability and outcomes moving forward.…”

Question worth 20 million lives: Why federal housing assistance has not had its Obamacare

“…Other objectives also included controlling health budget expenditures, transforming payment and delivery methods of medical care, etc. Notwithstanding Trump's efforts to repeal ACA and the states controlled by Republican governors which resisted Medicaid expansion, ‘more than 20 million Americans have gained insurance coverage since ACA's enactment, representing a sizable constituency of beneficiaries of Medicaid expansion and subsidized marketplace insurance’ (Oberlander, 2017, p. 2). Many scholars have studied the factors explaining Obama's successful efforts in passing the bill (see Hacker, 2011; Jacobs & Skocpol, 2016).…”