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Antipoverty Impact Of Medicaid Growing With State Expansions Over Time.
- Source :
-
Health affairs (Project Hope) [Health Aff (Millwood)] 2019 Jan; Vol. 38 (1), pp. 132-138. - Publication Year :
- 2019
-
Abstract
- Out-of-pocket spending on health care pushed over 10.5 million Americans into poverty in 2016. Medicaid helps offset this risk by providing medical coverage to millions of poor and near-poor children and adults and thereby constraining out-of-pocket medical spending. This article examines whether recent state-level expansions to the Medicaid program resulted in reductions in poverty and whether future changes to the program are likely to have similar impacts on poverty. Using a difference-in-differences research design, we found that the recent Medicaid expansion caused a significant reduction in the poverty rate. Moreover, by simulating a counterfactual poverty rate for a hypothetical world without Medicaid coverage, we found that the program's antipoverty impact grew over the past decade independent of expansion, by shielding beneficiaries from growing out-of-pocket spending. Future expansions or retractions of Medicaid are likely to produce associated effects on poverty.
- Subjects :
- Adult
Aged
Child
Health Expenditures statistics & numerical data
Health Services Accessibility
Humans
Male
Medicaid statistics & numerical data
Middle Aged
Patient Protection and Affordable Care Act legislation & jurisprudence
United States
Eligibility Determination
Insurance Coverage
Insurance, Health
Medicaid economics
Poverty
Subjects
Details
- Language :
- English
- ISSN :
- 1544-5208
- Volume :
- 38
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Health affairs (Project Hope)
- Publication Type :
- Academic Journal
- Accession number :
- 30615519
- Full Text :
- https://doi.org/10.1377/hlthaff.2018.05155