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Did Medicaid slow declines in access to health care during the great recession?
- Source :
- Health Services Research
- Publication Year :
- 2021
- Publisher :
- Wiley, 2021.
-
Abstract
- Objective We examine whether broadened access to Medicaid helped insulate households from declines in health coverage and health care access linked to the 2007‐2009 Great Recession. Data Source 2004‐2010 Behavioral Risk Factor Surveillance System (BRFSS). Study Design Flexible difference‐in‐difference regressions were used to compare the impact of county‐level unemployment on health care access in states with generous Medicaid eligibility guidelines versus states with restrictive guidelines. Data Collection/Extraction Methods Nonelderly adults (aged 19‐64) in the BRFSS were linked to county unemployment rates from the Bureau of Labor Statistics’ Local Area Unemployment Statistics Program. We created a Medicaid generosity index by simulating the share of a nationally representative sample of adults that would be eligible for Medicaid under each state's 2007 Medicaid guidelines using data from the 2007 Current Population Survey's Annual Social and Economic Supplement. Principal Findings A percentage point (PPT) increase in the county unemployment rate was associated with a 1.3 PPT (95% CI: 0.9‐1.6, P
- Subjects :
- Adult
Male
unemployment
media_common.quotation_subject
Health Services Accessibility
Insurance Coverage
Great recession
Behavioral Risk Factor Surveillance System
Young Adult
determinants of health
health care access
Health care
state health policy
Humans
Medicine
health care economics and organizations
media_common
Current Population Survey
Medicaid
business.industry
Health Policy
Middle Aged
United States
Economic Recession
Quartile
Unemployment
Female
Extraction methods
Great Recession
business
Research Article
Demography
Subjects
Details
- ISSN :
- 14756773 and 00179124
- Volume :
- 56
- Database :
- OpenAIRE
- Journal :
- Health Services Research
- Accession number :
- edsair.doi.dedup.....3ca0717978ad97e18c20a2e6505e74d5