scholarly journals Stemming the Tide? The Effect of Expanding Medicaid Eligibility on Health Insurance

2005 ◽  
Author(s):  
Lara Shore-Sheppard
Keyword(s):  
Health Insurance ◽  
Medicaid Eligibility

scholarly journals Work Requirements and Perceived Deservingness of Medicaid

2020 ◽  
Vol 49 (1) ◽  
pp. 30-45
Author(s):  
Jennifer D. Wu
Keyword(s):  
Health Insurance ◽  
Current Literature ◽  
Important Determinant ◽  
State Governments ◽  
Federally Funded ◽  
Work Requirements ◽  
Medicaid Policy ◽  
Survey Experiments ◽  
Medicaid Eligibility ◽  
Primary Driver

Does an individual’s effort to acquire employer-sponsored health insurance through employment affect whether they are deserving of health insurance? Much of the current literature that examines the deservingness of federally-funded health insurance focuses on an individual’s responsibility in becoming ill. However, logic from the welfare literature would suggest the willingness to work for one’s welfare, or reciprocity, is an important determinant of deservingness. The relevance of employment-seeking in Medicaid deservingness comes at a crucial time given recent attempts by state governments to implement work requirements as a part of Medicaid eligibility. Using a series of survey experiments, I compare the importance of responsibility versus reciprocity and find that responsibility, what one does to become ill, is the primary driver of judgments of deservingness. What one does to earn their Medicaid by working plays a negligible role in driving attitudes. These findings have implications for how we understand the determinants of support for Medicaid policy.

In the Shadow of 9/11: Health Care Reform in the 2004 Presidential Election

2004 ◽  
Vol 32 (3) ◽  
pp. 454-460
Author(s):  
Lawrence R. Jacobs ◽  
Michael Illuzzi
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Reform ◽  
Presidential Elections ◽  
Inflation Rate ◽  
State Governments ◽  
Budget Deficits ◽  
Congressional Budget Office ◽  
Job Growth ◽  
Medicaid Eligibility

Health care reform is an important issue in the 2004 presidential elections and is receiving serious attention from the Democratic and Republican candidates. Changes in the economy that fuelled increased productivity and depressed job growth have also shifted more of the costs of medical care and insurance onto employees. The rising costs of insurance premiums and health care are far outpacing the general inflation rate and workers’ wages. Meanwhile, state governments reacted to widening budget deficits from 2001 to 2003 by reducing Medicaid eligibility and benefits. These changes in employer-based health insurance and government policy have contributed to the largest rise in the share of Americans without health insurance in a decade. In 2002, the uninsured numbered 43.6 million and, according to the Congressional Budget Office, 57 to 59 million non-elderly people are uninsured at some point over the course of a year.

scholarly journals The Line Between Medicaid and Marketplace: Coverage Effects from Wisconsin’s Partial Expansion

2021 ◽  
Author(s):  
Laura Dague ◽  
Marguerite Burns ◽  
Donna Friedsam
Keyword(s):  
Health Insurance ◽  
Low Income ◽  
Medicaid Expansion ◽  
Poverty Level ◽  
Claims Database ◽  
Medicaid Coverage ◽  
Medicaid Enrollment ◽  
Medicaid Eligibility ◽  
Balanced Budget ◽  
Parents And Caregivers

Abstract Context: States have sought to experiment with the income eligibility threshold between Medicaid coverage and access to subsidized Marketplace plans in an effort to increase coverage for low-income adults while meeting other state priorities, particularly a balanced budget. In 2014, Wisconsin opted against adoption of an ACA Medicaid expansion, instead setting the Medicaid eligibility threshold at 100% of the poverty level—a state-funded partial expansion. Childless adults gained new eligibility, while parents and caregivers with incomes between 101–200% of poverty lost existing eligibility. Methods: We use Wisconsin’s all-payer claims database to assess health insurance gains, losses, and transitions among low-income adults affected by this partial expansion. Findings: We find that less than one third of adults who lost Medicaid eligibility definitely took up commercial coverage, and many returned to Medicaid. Among those newly Medicaid eligible, there was little evidence of crowd-out. Both groups experienced limited continuity of coverage. Overall, new Medicaid enrollment of childless adults was offset by coverage losses among parents and caregivers, rendering Wisconsin’s overall coverage gains similar to non-expansion states. Conclusions: Wisconsin’s experience demonstrates the difficulty in relying on the Marketplace to cover the near poor and suggests that full Medicaid expansion more effectively increases coverage.

scholarly journals Observational study protocol for evaluating control of hypertension and the effects of social determinants

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e025975 ◽  
Author(s):  
Heather Angier ◽  
Nathalie Huguet ◽  
Miguel Marino ◽  
Beverly Green ◽  
Heather Holderness ◽  
...  
Keyword(s):  
Health Insurance ◽  
Community Health ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Determinants Of Health ◽  
Research Network ◽  
Difference In Difference ◽  
Medicaid Eligibility

IntroductionHypertension is a common chronic health condition. Having health insurance reduces hypertension risk; health insurance coverage could improve hypertension screening, treatment and management. The Medicaid eligibility expansion of the Affordable Care Act was ruled not to be required by the US Supreme Court. Subsequently, a ‘natural experiment’ was produced with some states expanding Medicaid eligibility while others did not. This presents a unique opportunity to learn whether and to what extent Medicaid expansion can affect healthcare access and services for patients at risk for and diagnosed with hypertension, and patients with undiagnosed hypertension. Additionally, social determinants of health (SDH), at both the individual- and community-level, influence diagnosis and care for hypertension and it is important to understand how they interact with health insurance coverage changes.Methods/designWe will use electronic health record (EHR) data fromtheAccelerating Data Value Across a National Community Health Center Network clinical data research network, which has data from community health centres in 22 states, some that did and some that did not expand Medicaid. Data include information on changes in health insurance, service receipt and health outcomes from 2012 through the most recent data available. We will include patients between the ages of 19 and 64 years (n=1 524 241) with ≥1 ambulatory visit to a community health centre. We will estimate differences in outcomes using difference-in-difference and difference-in-difference-in-difference approaches. We will test three-way interactions with insurance group, time and social determinants of health factors to compare the potential effect of gaining insurance on our proposed outcomes.Ethics and disseminationThis study uses secondary data analysis and therefore approval for consent to participate was waived. The Institutional Review Board for OHSU approved this study. Approval reference number is: IRB00011858. We plan to disseminate our findings at relevant conferences, meetings and through peer-reviewed journals.Trial registration numberNCT03545763.

Impacts of Public Health Insurance on Occupational Upgrading

ILR Review ◽  
2020 ◽  
pp. 001979392092806
Author(s):  
Ammar Farooq ◽  
Adriana Kugler
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Poverty Line ◽  
Public Health Insurance ◽  
Working Parents ◽  
Standard Deviation Increase ◽  
Job Lock ◽  
Medicaid Eligibility ◽  
Using Data ◽  
Rotation Groups

Using data from the Current Population Survey’s Merged Outgoing Rotation Groups, the authors examine whether greater Medicaid generosity encourages people to switch toward better quality occupations. Exploiting variation in Medicaid eligibility expansions for children across states during the 1990s and early 2000s, they find that a one standard deviation increase in Medicaid infant income thresholds increased the likelihood that working parents move to a new occupation by 1.6 percentage points or 3.3%. Findings show that these effects are larger for those below 150% of the poverty line and for married parents who were not benefiting from Medicaid prior to the expansions. In addition, findings indicate that Medicaid generosity also increased mobility toward occupations with higher average wages and higher educational requirements. This article contributes to the literature on job lock by showing that access to public health insurance not only increases employment and job switches but also encourages occupational upgrading.

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