Effects of the Families First Coronavirus Response Act on Coverage Continuity and Access for Medicaid Beneficiaries
Bibliographic Data
| ID | 13776244 |
|---|---|
| Authors | Wei Lyu (0000-0001-7441-9961, University of Memphis, Memphis, TN, USA), George L Wehby (0000-0001-7784-9908, University of Iowa, Iowa City, IA, USA, corresponding author) |
| Year | 2024 |
| Volume | 61 |
| Pages | 469580241282052-469580241282052 |
| Publication date | 2024-01-01 |
| 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 | 10.1177/00469580241282052 |
| PMID | 39315678 |
| OpenAlex | W4402759156 |
| Language | EN |
| References cited | 13 |
The Families First Coronavirus Response Act (FFCRA) enacted in March 2020 prohibited states from redetermining Medicaid eligibility until March 31st, 2023. However, there has been little direct evidence on how the FFCRA affected coverage continuity, health care access and utilization among Medicaid beneficiaries. In this cross-sectional study, we employ data from the 2015 to 2022 National Health Interview Survey and a difference-in-differences design to study the FFCRA effects by comparing changes in outcomes between Medicaid and privately insured individuals over time. The sample is limited to non-elderly adults aged 19 to 64 years with income below 300% of the federal poverty level. We find that Medicaid beneficiaries experienced a decline in coverage interruptions in 2021 and 2022 relative to privately insured individuals. Additionally, Medicaid beneficiaries had improved access in 2021, with less reporting of unaffordable healthcare needs and delayed medical care due to cost. There were no discernable effects on hospitalizations, ED visits, and doctor/health professional visits. The continuous Medicaid coverage provision under the FFCRA was associated with enhanced coverage stability and improved access to care for Medicaid beneficiaries. Findings highlight potential benefits from new policy initiatives to improve Medicaid coverage continuity
Business · Continuity of care · Coronavirus disease 2019 (COVID-19 · Environmental health · Family medicine · Health care · Medicaid · Political science · Population · Poverty · Poverty level · Food Security and Health in Diverse Populations · Global Health Care Issues · Healthcare Policy and Management · Medicine
| Highly cited | No |
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