The Impact of Medicaid Expansion on Voter Participation: Evidence from the Oregon Health Insurance Experiment

2018 ◽  
Author(s):  
Katherine Baicker ◽  
Amy Finkelstein
Keyword(s):  
Health Insurance ◽  
Voter Participation ◽  
Medicaid Expansion ◽  
Oregon Health ◽  
The Impact

scholarly journals The Impact of Medicaid on Labor Market Activity and Program Participation: Evidence from the Oregon Health Insurance Experiment

2014 ◽  
Vol 104 (5) ◽  
pp. 322-328 ◽  
Author(s):  
Katherine Baicker ◽  
Amy Finkelstein ◽  
Jae Song ◽  
Sarah Taubman
Keyword(s):  
Health Insurance ◽  
Low Income ◽  
Food Stamps ◽  
Program Participation ◽  
Percentage Points ◽  
Randomized Design ◽  
Oregon Health ◽  
The Impact ◽  
Government Benefits ◽  
Labor Market Activity

In 2008, a group of uninsured low-income adults in Oregon was selected by lottery for the chance to apply for Medicaid. Using this randomized design and 2009 administrative data, we find no significant effect of Medicaid on employment or earnings. Our 95 percent confidence intervals allow us to reject that Medicaid causes a decline in employment of more than 4.4 percentage points, or an increase of more than 1.2 percentage points. Medicaid increases food stamps receipt, but has little, if any, impact on receipt of other measured government benefits, including SSDI.

The impact of Medicaid expansion on employer provision of health insurance

2018 ◽  
Vol 19 (3-4) ◽  
pp. 317-340 ◽  
Author(s):  
Jean M. Abraham ◽  
Anne B. Royalty ◽  
Coleman Drake
Keyword(s):  
Health Insurance ◽  
Medicaid Expansion ◽  
The Impact

Associations of Medicaid Expansion With Access to Care, Severity, and Outcomes for Acute Ischemic Stroke

2021 ◽  
Author(s):  
Blake T. McGee ◽  
Karen B. Seagraves ◽  
Eric E. Smith ◽  
Ying Xian ◽  
Shuaiqi Zhang ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Health Insurance ◽  
Access To Care ◽  
Acute Ischemic Stroke ◽  
Low Income ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Medicaid Expansion ◽  
Skilled Nursing ◽  
The Impact

Background: Multiple states have not expanded Medicaid under the Affordable Care Act, resulting in higher uninsured rates in states with high stroke burdens. This study aimed to evaluate the association of Medicaid expansion with changes in health insurance coverage, severity of presentation, access to care, and outcomes among patients with acute ischemic stroke. Methods: A retrospective, difference-in-differences analysis of Get With The Guidelines–Stroke registry data. The study population comprised first-time ischemic stroke admissions from 2012 to 2018 for patients aged 19 to 64 in 45 states (27 that expanded Medicaid and 18 that did not). A probable low-income cohort was defined based on having Medicaid, no insurance/self-pay, or undocumented insurance. Outcomes analyzed were indicators of health insurance status, stroke severity, use of emergency services, time to acute care, in-hospital mortality, receipt of rehabilitation, discharge disposition, and level of disability. Results: In the starting population (N=342 765), Medicaid-covered stroke admissions rose from 12.2% to 18.1% in expansion states and from 10.0% to only 10.6% in nonexpansion states, while uninsured admissions declined from 15.0% to 6.7% in expansion states and from 24.0% to 19.2% in nonexpansion states. In the low-income cohort (N=95 086; 28% of starting population), Medicaid expansion was associated with increased odds of discharge to a skilled nursing facility (adjusted odds ratio, 1.33 [95% CI, 1.12–1.59]) and transfer to any rehabilitation facility among those eligible (adjusted odds ratio, 1.24 [95% CI, 1.08–1.41]) and lower odds of discharge home (adjusted odds ratio, 0.89 [95% CI, 0.80–0.98]). Expansion was not associated with any other outcomes. Conclusions: Medicaid expansion is associated with fewer uninsured hospitalizations for acute ischemic stroke and increased rehabilitation at skilled nursing facilities. More targeted interventions may be needed to improve other stroke outcomes in the low-income US population. Future research should evaluate the impact of health care reform on primary stroke prevention.

Disparities in the Impact of Medicaid Expansion on Adults in Poverty

2019 ◽  
Author(s):  
Brandon W. Yan ◽  
Frank A. Sloan ◽  
Chien-Wen Tseng ◽  
John Boscardin ◽  
R. Adams Dudley
Keyword(s):  
Medicaid Expansion ◽  
The Impact
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