Massachusetts Inpatient Medicaid Cost Response to Increased Supplemental Nutrition Assistance Program Benefits

American Journal of Public Health
Rajan Anthony Sonik

Abstract

To investigate the impact of an increase in Supplemental Nutrition Assistance Program (SNAP) benefits on Medicaid costs and use in Massachusetts. Using single and multigroup interrupted time series models, I examined the effect of an April 2009 increase in SNAP benefits on inpatient Medicaid cost and use patterns. I analyzed monthly Medicaid discharge data from 2006 to 2012 collected by the Massachusetts Center for Health Information and Analysis. Inpatient costs for the overall Massachusetts Medicaid population grew by 0.55 percentage points per month (P < .001) before the SNAP increase. After the increase, cost growth fell by 73% to 0.15 percentage points per month (-0.40; P = .003). Compared with the overall Medicaid population, cost growth for people with the selected chronic illnesses was significantly greater before the SNAP increase, as was the decline in growth afterward. Reduced hospital admissions after the SNAP increase drove the cost declines. Medicaid cost growth fell in Massachusetts after SNAP benefits increased, especially for people with chronic illnesses with high sensitivity to food insecurity.

References

Aug 14, 2002·Journal of Clinical Pharmacy and Therapeutics·A K WagnerD Ross-Degnan
Oct 10, 2002·Hormone Research·Régis HankardJean Navarro
Jan 5, 2005·Archives of Pediatrics & Adolescent Medicine·Patrick H CaseyPippa M Simpson
Jul 8, 2005·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Patricia A Higgins, Barbara J Daly
Dec 6, 2005·Maternal and Child Health Journal·Anne SkalickyDeborah A Frank
Mar 22, 2006·The Journal of Nutrition·John T CookMariana Chilton
Mar 22, 2007·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Anthony E WiskinRobert M Beattie
Apr 10, 2009·American Journal of Hematology·Teresa L KaufAbraham G Hartzema
Jun 13, 2009·Respiratory Research·June-Ho KimM Innes Asher
Dec 25, 2009·The Journal of Nutrition·Hilary K SeligmanMargot B Kushel
Dec 15, 2010·American Journal of Preventive Medicine·Robert F SchoeniElsie R Pamuk
May 14, 2011·International Journal of Health Services : Planning, Administration, Evaluation·Thomas A LaVeistPatrick Richard
May 7, 2013·Comptes rendus biologies·Marvin Reid
Jun 24, 2014·Journal of the Academy of Nutrition and Dietetics·Clara Y Park, Heather A Eicher-Miller
Mar 4, 2015·The Journal of Nutrition·Meng DingClaire A Zizza

❮ Previous
Next ❯

Citations

Feb 18, 2016·American Journal of Public Health·Sandro Galea, Roger Vaughan
Jul 17, 2016·Current Diabetes Reports·Utibe R EssienSeth A Berkowitz
Jun 14, 2017·Health Services Research·Seth A BerkowitzHilary K Seligman
Aug 16, 2019·American Journal of Public Health·Leighton KuDrishti Pillai
Apr 3, 2020·Annual Review of Public Health·Sara N BleichSheila E Fleischhacker
Sep 23, 2019·American Journal of Preventive Medicine·Stephanie A Ettinger de CubaDeborah A Frank

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2022 Meta ULC. All rights reserved