Can Medicaid be a Solution to the Problem? Underinsurance in Medicaid Expansion Versus Non-Expansion States
Bibliographic Data
| ID | 13775253 |
|---|---|
| Authors | Aniyar Izguttinov (0000-0002-4360-8505, University of North Carolina at Chapel Hill, corresponding author), Justin G Trogdon (0000-0001-5484-7870, University of North Carolina at Chapel Hill) |
| Year | 2023 |
| Volume | 60 |
| Pages | 469580231202640-469580231202640 |
| Publication date | 2023-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | INQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL) |
| Journal identifiers | ISSN: 0046-9580 • E-ISSN: 1945-7243 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/00469580231202640 |
| PMID | 37776294 |
| OpenAlex | W4387224769 |
| Language | EN |
| References cited | 34 |
The positive effects of Medicaid expansions have been extensively documented in the literature. However, it is not clear whether the reform has had an equally meaningful effect with respect to underinsurance, which is the state of having health insurance yet lacking adequate coverage or facing substantial financial risks upon usage of services. Based on a quasi-experimental difference-in-differences approach, we analyzed the data from a nationally representative sample to estimate the effect of Medicaid expansion on the probability of underinsurance among the non-elderly low-income adult population of the U.S. We found no evidence of significant changes in the likelihood of underinsurance due to Medicaid expansion during the first 4 years after the ACA implementation. However, a supplementary analysis of the longer-term impact (2018-2019) suggests that there might be a time lag between Medicaid expansion and its effect on underinsurance. It is important to realize that expansion of coverage alone may not be sufficient to protect millions of Americans, particularly those with low incomes, from underinsurance. It is, therefore, crucial for policymakers to build legislative frameworks that protect individuals from excessive healthcare expenses and prevent treatment avoidance or delay
Actuarial science · Business · Demographic economics · Economic growth · Economics · Environmental health · Health care · Health insurance · Legislature · Medicaid · Political science · Population · Global Health Care Issues · Healthcare Policy and Management · Medicine · Primary Care and Health Outcomes
Does Public Insurance Crowd out Private Insurance?
Designing Difference in Difference Studies
Health and Access to Care during the First 2 Years of the ACA Medicaid Expansions
Premium subsidies, the mandate, and Medicaid expansion
Changes in Utilization and Health Among Low-Income Adults After Medicaid Expansion or Expanded Private Insurance
Difference-in-Differences with multiple time periods
Comparing Health Care Financial Burden With an Alternative Measure of Unaffordability
Early Impacts of the Affordable Care Act on Health Insurance Coverage in Medicaid Expansion and Non‐Expansion States
Effects of ACA Medicaid Expansions on Health Insurance Coverage and Labor Supply
Trends in Hospital Utilization After Medicaid Expansion
Effects of the Recent Medicaid Expansions on Dental Preventive Services and Treatments
| Citation velocity | historical |
|---|---|
| Highly cited | No |