The Impact of the ACA Medicaid Expansions on Health Insurance Coverage through 2015 and Coverage Disparities by Age, Race/Ethnicity, and Gender

Health Services Research
George L Wehby, Wei Lyu

Abstract

Examine the ACA Medicaid expansion effects on Medicaid take-up and private coverage through 2015 and coverage disparities by age, race/ethnicity, and gender. 2011-2015 American Community Survey for 3,137,989 low-educated adults aged 19-64 years. Difference-in-differences regressions accounting for national coverage trends and state fixed effects. Expansion effects doubled in 2015 among low-educated adults, with a nearly 8 percentage-point increase in Medicaid take-up and 6 percentage-point decline in uninsured rate. Significant coverage gains were observed across virtually all examined groups by age, gender, and race/ethnicity. Take-up and insurance declines were strongest among younger adults and were generally close by gender and race/ethnicity. Despite the increased take-up however, coverage disparities remained sizeable, especially for young adults and Hispanics who had declining but still high uninsured rates in 2015. There was some evidence of private coverage crowd-out in certain subgroups, particularly among young adults aged 19-26 years and women, including in both individually purchased and employer-sponsored coverage. The ACA Medicaid expansions have continued to increase coverage in 2015 across the entire population...Continue Reading

References

Jan 22, 2008·Journal of Health Economics·Jonathan Gruber, Kosali Simon
Jan 1, 2012·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Sarah Miller
May 3, 2013·The New England Journal of Medicine·Katherine BaickerJeanene Smith
Oct 9, 2015·American Journal of Public Health·Salam AbdusThomas M Selden
Feb 19, 2016·Health Affairs·Joseph A BenitezJ'Aime Jennings
Dec 20, 2016·Journal of Policy Analysis and Management : [the Journal of the Association for Public Policy Analysis and Management]·Charles CourtemancheDaniela Zapata
Apr 1, 2015·American Journal of Health Economics·Dhaval M DaveKosali Ilayperuma Simon

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Citations

Jun 7, 2018·American Journal of Public Health·Chintan B Bhatt, Consuelo M Beck-Sagué
Feb 23, 2018·Health Services Research·Dahai YueNinez A Ponce
Nov 1, 2018·Health Services Research·Charles CourtemancheIshtiaque Fazlul
May 30, 2019·Pain Management·Samantha M MeintsRobert R Edwards
Nov 7, 2019·Journal of Racial and Ethnic Health Disparities·Adrienne Milner, Berkeley Franz
Jan 4, 2020·Seminars in Dialysis·Deidra C Crews, Tessa K Novick
Dec 19, 2019·Stroke; a Journal of Cerebral Circulation·Tyler S ColeAndrew F Ducruet
Nov 11, 2019·Journal of Community Psychology·Guillermo M Wippold, Julia Roncoroni
Mar 10, 2020·Pediatric Blood & Cancer·Mariam KayleMarsha J Treadwell
Mar 19, 2020·Workplace Health & Safety·Anita RajRupa Jose
Mar 27, 2020·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Toni Calasanti, Neal King
Mar 19, 2020·Journal of Health Politics, Policy and Law·Stacey McMorrowJohn Holahan
Jul 29, 2020·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Melissa McInerneyM Kate Bundorf
Jul 31, 2020·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Joy HsuW Dana Flanders
Aug 14, 2020·Circulation. Heart Failure·Aditi NayakAlanna A Morris
Aug 22, 2020·Journal of Medical Internet Research·Yulin HswenJohn S Brownstein
Dec 17, 2018·International Journal of Health Economics and Management·Jean M AbrahamColeman Drake
Jun 23, 2019·Journal of Racial and Ethnic Health Disparities·Tyrone C Cheng, Celia C Lo
Oct 11, 2020·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Elisa J GordonMichelle Shumate
Dec 1, 2020·Health Economics·Francesco RennaKuchibhotla Dinkar
Nov 29, 2020·Burns : Journal of the International Society for Burn Injuries·Jamie OhNicole S Gibran
Nov 26, 2020·Plastic and Reconstructive Surgery·Hillary E JennyRobin Yang
Feb 11, 2021·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Hyunjung LeeFrank W Porell
Nov 17, 2020·Journal of Pain Research·Malini GhoshalMichael E Schatman
Apr 3, 2021·Journal of the American Society of Nephrology : JASN·Rebecca ThorsnessAmal N Trivedi
Apr 9, 2021·International Journal for Equity in Health·De-Chih LeeLeiyu Shi
Nov 23, 2018·The Journal of Surgical Research·Alexander S ChiuKevin Y Pei
Aug 25, 2021·International Journal of Health Economics and Management·Alyson MaMindy Ma

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