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

نویسندگان

  • Michael Dworsky
  • Christine Eibner
چکیده

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited. Permission is given to duplicate this document for personal use only, as long as it is unaltered and complete. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial use. For information on reprint and linking permissions, please visit The RAND Corporation is a research organization that develops solutions to public policy challenges to help make communities throughout the world safer and more secure, healthier and more prosperous. RAND is nonprofit, nonpartisan, and committed to the public interest. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors. R® is a registered trademark. iii Preface Following full implementation of the Affordable Care Act's (ACA's) coverage provisions on January 1, 2014, the share of U.S. adults without insurance fell substantially more in Medicaid expansion states than in nonexpansion states. These figures suggest that Medicaid expansion is succeeding at reducing uninsurance. However, existing estimates of the Medicaid expansion's effects do not specifically examine take-up of Medicaid among adults who became newly eligible following the Medicaid expansion. This report used data from the 2009–2014 National Health Interview Survey with restricted-use state geocodes to measure the effect of state Medicaid expansion decisions on insurance coverage and the source of coverage among childless adults who became newly eligible for Medicaid in 2014. This report uses a differences-indifferences approach to compare newly eligible adults to similar adults in nonexpansion states who were not eligible for subsidized coverage through the Health Insurance Marketplace in 2014. This study addressed the following research questions: • How did Medicaid expansion affect insurance status for low-income childless adults who became newly eligible? • Of the newly eligible adults gaining Medicaid coverage because of the expansion, how many would otherwise have been uninsured, and how many would otherwise have been covered by private insurance? • Which subgroups of the newly eligible population were more or less likely to take up Medicaid coverage in 2014? This report may be of interest to state and federal health policymakers, as well as other analysts evaluating the ACA and the effects of Medicaid eligibility on insurance coverage. (RWJF) through its State Health Access Reform Evaluation (SHARE) initiative. SHARE is an RWJF national program …

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تاریخ انتشار 2016