New Medicaid Enrollees See Health and Social Benefits in Pennsylvania’s Expansion
Bibliographic Data
Understanding how new Medicaid enrollees are approaching their own health and health care in the shifting health care landscape of the Affordable Care Act has implications for future outreach and enrollment efforts, as well as service planning for this population. The objective of this study was to explore the health care experiences and expectations of new Medicaid expansion beneficiaries in the immediate post-enrollment period. We conducted semistructured, qualitative interviews with a random sample of 40 adults in Philadelphia who had completed an application for Medicaid through a comprehensive benefits organization after January 1, 2015, when the Medicaid expansion in Pennsylvania took effect. We conducted an inductive, applied thematic analysis of interview transcripts. The new Medicaid beneficiaries described especially high levels of pent-up demand for care. Dental care was a far more pressing and motivating concern than medical care. Preventive services were also frequently mentioned. Participants anticipated that insurance would reduce both stress and financial strain and improve their experience in the health care system by raising their social standing. Participants highly valued the support of telephone application counselors in the Medicaid enrollment process to overcome bureaucratic obstacles they had encountered in the past. Dental care and preventive services appear to be high priorities for new Medicaid enrollees. Telephone outreach and enrollment support services can be an effective way to overcome past experiences with administrative barriers
Business · Environmental health · Family medicine · Health care · Medicaid · Outreach · Political science · Population · Qualitative research · Sociology · Thematic analysis · Healthcare Policy and Management · Medicine · Nursing · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes · Gerontology
Applied Thematic Analysis
Unmet Health Needs of Uninsured Adults in the United States
The Oregon Experiment — Effects of Medicaid on Clinical Outcomes
Perceived Discrimination in Health Care and Health Status in a Racially Diverse Sample
Users' Guides to the Medical Literature
The Oregon Health Insurance Experiment
Changes in Self-reported Insurance Coverage, Access to Care, and Health Under the Affordable Care Act
We’ll Get to You When We Get to You”
Barriers to Medicaid Enrollment
Revisiting the Behavioral Model and Access to Medical Care
| Citations per year | 0.11 |
|---|---|
| Citation span | 2017 - 2017 (1) |
| Highly cited | No |