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Work Requirements and Medicaid Disenrollment in Arkansas, Kentucky, Louisiana, and Texas, 2018

Dados Bibliográficos

ID11037585
AutoresLucy Chen (0000-0001-6369-0916, Lucy Chen is with the Harvard Graduate School of Arts and Sciences and the Harvard Business School, Boston, MA. Benjamin D. Sommers is with the Harvard T. H. Chan School of Public Health and Brigham and Women’s Hospital, Boston, MA.), Benjamin D Sommers (0000-0001-6507-6047, Lucy Chen is with the Harvard Graduate School of Arts and Sciences and the Harvard Business School, Boston, MA. Benjamin D. Sommers is with the Harvard T. H. Chan School of Public Health and Brigham and Women’s Hospital, Boston, MA.)
Ano2020
Volume110
Fascículo8
Páginas1208-1210
Data de publicação2020-08-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Journal of Public Health (JOURNAL)
Identificadores do periódicoISSN: 0090-0036 • E-ISSN: 1541-0048
EditoraAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2020.305697
PMID32552024
OpenAlexW3036883350
IdiomaEN
Citações recebidas6
Referências citadas8

Objectives. To identify risk factors for Medicaid disenrollment after the implementation of Arkansas’s work requirements. Methods. Using a 2018 telephone survey of 1208 low-income adults aged 30 to 49 years in Arkansas (expansion state with work requirements implemented in June 2018), Kentucky (expansion state with proposed work requirements blocked by courts), Louisiana (expansion state without work requirements), and Texas (nonexpansion state), we assessed Medicaid disenrollment rates among the age group targeted by Arkansas’s policy. Results. The Medicaid disenrollment rate was highest in Texas (12.8%), followed by Arkansas (10.5%), Kentucky (5.8%), and Louisiana (2.8%). Over half of those who disenrolled in Texas and Arkansas became uninsured, compared with less than a quarter in Kentucky and Louisiana. In multivariate models, Arkansas had significantly higher disenrollment compared with the 3 comparison states; men and non-Hispanic Whites experienced higher disenrollment than women and racial minorities. In Arkansas, having a chronic condition was associated with higher disenrollment. Conclusions. As states debate work requirements and Medicaid reforms, our findings provide insights for policymakers about which populations may be most vulnerable to losing Medicaid coverage

Archaeology · Behavioral Risk Factor Surveillance System · Environmental health · Geography · Health care · Medicaid · Multivariate analysis · Political science · Population · Quarter (Canadian coin) · Sociology · Work (physics) · Demography · Engineering · Geriatric Care and Nursing Homes · Healthcare Policy and Management · Law · Medicine · Retirement, Disability, and Employment · Gerontology

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Obras citantes distintas6
Citações por ano1,2
Intervalo de citações2021 - 2023 (3)
Velocidade de citaçãohistorical
Altamente citadoNão
Tipos de citaçãoNeutras: 6
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