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4. Examination of Changes in Health Status Among Michigan Medicaid Expansion Enrollees From 2016 to 2017

Author

Patel, Minal R., primary, Tipirneni, Renuka, additional, Kieffer, Edith C., additional, Kullgren, Jeffrey T., additional, Ayanian, John Z., additional, Chang, Tammy, additional, Solway, Erica, additional, Beathard, Erin, additional, Kirch, Matthias, additional, Lee, Sunghee, additional, Clark, Sarah, additional, Skillicorn, Jennifer, additional, Rowe, Zachary, additional, and Goold, Susan D., additional

Published
2020
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5. Association of Medicaid Expansion With Enrollee Employment and Student Status in Michigan

Author

Tipirneni, Renuka, primary, Ayanian, John Z., additional, Patel, Minal R., additional, Kieffer, Edith C., additional, Kirch, Matthias A., additional, Bryant, Corey, additional, Kullgren, Jeffrey T., additional, Clark, Sarah J., additional, Lee, Sunghee, additional, Solway, Erica, additional, Chang, Tammy, additional, Haggins, Adrianne N., additional, Luster, Jamie, additional, Beathard, Erin, additional, and Goold, Susan D., additional

Published
2020
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7. Primary Care, Health Promotion, and Disease Prevention with Michigan Medicaid Expansion

Author

Goold, Susan Dorr, primary, Tipirneni, Renuka, additional, Chang, Tammy, additional, Kirch, Matthias A., additional, Bryant, Corey, additional, Rowe, Zachary, additional, Beathard, Erin, additional, Solway, Erica, additional, Lee, Sunghee, additional, Clark, Sarah J., additional, Skillicorn, Jennifer, additional, Ayanian, John Z., additional, and Kullgren, Jeffrey T., additional

Published
2019
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8. Diagnosis and Care of Chronic Health Conditions Among Medicaid Expansion Enrollees: a Mixed-Methods Observational Study

Author

Rosland, Ann-Marie, primary, Kieffer, Edith C., additional, Tipirneni, Renuka, additional, Kullgren, Jeffrey T., additional, Kirch, Matthias, additional, Arntson, Emily K., additional, Clark, Sarah J., additional, Lee, Sunghee, additional, Solway, Erica, additional, Beathard, Erin, additional, Ayanian, John Z., additional, and Goold, Susan D., additional

Published
2019
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9. Changes in Health and Ability to Work Among Medicaid Expansion Enrollees: a Mixed Methods Study

Author

Tipirneni, Renuka, primary, Kullgren, Jeffrey T., additional, Ayanian, John Z., additional, Kieffer, Edith C., additional, Rosland, Ann-Marie, additional, Chang, Tammy, additional, Haggins, Adrianne N., additional, Clark, Sarah J., additional, Lee, Sunghee, additional, Solway, Erica, additional, Kirch, Matthias A., additional, Mrukowicz, Christina, additional, Beathard, Erin, additional, Sears, Erin, additional, and Goold, Susan D., additional

Published
2018
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10. Medicaid Unwinding Experiences in Dual-Eligible Older Adults.

Author

Tipirneni R, Furst W, Ruggiero DA, Singer DC, Solway E, Beathard E, Patel SR, Stefanescu AR, Kullgren JT, Ayanian JZ, and Roberts ET

Subjects
Humans, United States, Aged, Female, Male, Cross-Sectional Studies, Medicare economics, Eligibility Determination, Aged, 80 and over, Medicaid statistics & numerical data, Health Services Accessibility economics, Health Services Accessibility statistics & numerical data
Abstract

Importance: Dual-eligible older adults rely on Medicaid to pay for Medicare premiums and cost sharing in addition to supplemental services including dental and long-term care. However, the unique experiences of dual-eligible older adults with Medicaid unwinding remain unknown., Objective: To assess the awareness and experiences of dual-eligible older adults with Medicaid redetermination., Design, Setting, and Participants: A cross-sectional national survey of community-dwelling US adults aged 65 years or older with incomes less than or equal to 100% of the federal poverty level, via internet and telephone, was conducted from January 23 through February 19, 2024. Participants were recruited from NORC probability-based and 2 additional national nonprobability panels., Main Outcomes and Measures: Weighted percentage values for respondent awareness of Medicaid redeterminations, experiences navigating reenrollment, and cost-related barriers to accessing care., Results: Of 843 respondents, most were female (62.9%), aged 65 to 74 years (62.3%), and had completed up to high school education (72.3%). Overall, 16.1% (95% CI, 12.4%-19.9%) had heard a lot and 34.6% (95% CI, 28.9%-40.4%) a little about states returning to Medicaid renewals; 49.0% (95% CI, 43.0%-55.0%) heard nothing at all. A total of 45.1% completed a Medicaid renewal, 37.0% did not complete a renewal, and 17.7% did not know about renewal requirements. A total of 87.7% maintained Medicaid, 5.9% lost Medicaid but got it back, and 5.5% lost Medicaid and did not get it back. In the last 6 months, 7.7% reported delaying or forgoing care due to cost. Delayed or forgone care was more common among those who lost Medicaid and did not get it back (18.4%) and those who lost Medicaid but got it back (30.6%) compared with those who maintained Medicaid (5.5%). Cost-related barriers were more common for dental (25.1%) and home health services (18.5%), which are frequently covered by Medicaid., Conclusions and Relevance: The findings highlight a need to address informational gaps and navigational barriers related to Medicaid unwinding among older adults with dual eligibility for Medicare and Medicaid. Addressing these gaps may help to avoid Medicaid losses that contribute to difficulties accessing care.

Published
2025
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