Variation of preventive service utilization by state Medicaid coverage, cost-sharing, and Medicaid expansion status

Preventive Medicine
Robin BloodworthKaroline Mortensen

Abstract

Preventive services can help reduce costs associated with chronic conditions. Medicaid beneficiaries have high rates of chronic conditions, but state Medicaid coverage and cost-sharing of preventive services varies widely. States that chose to expand Medicaid under the ACA were incentivized to cover recommended preventive services at no cost-sharing. This study evaluates whether state Medicaid policy and Medicaid expansion were associated with overall utilization, and disparities in utilization of preventive services among vulnerable populations. We used Medicaid policy data from Kaiser Family Foundation and MEPS data (2009-2014, n = 15,610), collected and analyzed in 2017. We used multivariable logistic regression, difference-in-differences, and difference-in-difference-in-differences models to examine the association between state Medicaid preventive service policy and Medicaid expansion on overall utilization, and disparities in utilization among race/ethnicity and income groups for blood pressure check, cholesterol screening, and flu shot. Medicaid coverage of flu shot was significantly associated with utilization (p < 0.001). Medicaid expansion significantly increased flu shot utilization among near-poor individuals (p < 0...Continue Reading

Citations

Jan 4, 2020·Seminars in Dialysis·Deidra C Crews, Tessa K Novick
Nov 2, 2019·Journal of Health Politics, Policy and Law·Emma Sandoe, Ezra Golberstein
Feb 15, 2019·Current HIV/AIDS Reports·Blythe AdamsonAaron B Katz
May 12, 2018·AIDS and Behavior·Lianne A UradaAnita Raj
Jun 10, 2019·Current HIV/AIDS Reports·Patrick S SullivanAaron J Siegler
Mar 19, 2020·Journal of Health Politics, Policy and Law·Timothy Stoltzfus Jost, Katie Keith
Mar 19, 2020·Journal of Health Politics, Policy and Law·Larry Levitt
Mar 19, 2020·Journal of Health Politics, Policy and Law·Colleen M Grogan
May 15, 2020·The American Journal of Bioethics : AJOB·Cheryl ErwinRabbi Claudio J Kogan
Jun 9, 2020·The American Journal of Bioethics : AJOB·Amy L McGuireUNKNOWN COVID-19 Task Force of the Association of Bioethics Program Directors (ABPD)
Jul 31, 2020·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Joy HsuW Dana Flanders
Aug 26, 2020·Social Work in Public Health·Maria E TorresHannah Karpman
Jul 29, 2020·Primary Care·Melissa L Martinez, Sarah Coles
Jul 15, 2020·Journal of Diabetes and Its Complications·Alisha MonnetteLizheng Shi
Jul 28, 2021·International Journal for Equity in Health·Yilu LinLizheng Shi

❮ 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.