COVID‐19‐related Medicaid enrollment in Medicaid expansion and non‐expansion states

RESEARCH OBJECTIVE: To explore whether expanded Medicaid helps mitigate the relationship between unemployment due to COVID and being uninsured. Unanticipated unemployment spells are generally associated with disruptions in health insurance coverage, which could also be the case for job losses during...

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Autores principales: Benitez, Joseph A., Dubay, Lisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9349712/
https://www.ncbi.nlm.nih.gov/pubmed/35808954
http://dx.doi.org/10.1111/1475-6773.14029
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author Benitez, Joseph A.
Dubay, Lisa
author_facet Benitez, Joseph A.
Dubay, Lisa
author_sort Benitez, Joseph A.
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description RESEARCH OBJECTIVE: To explore whether expanded Medicaid helps mitigate the relationship between unemployment due to COVID and being uninsured. Unanticipated unemployment spells are generally associated with disruptions in health insurance coverage, which could also be the case for job losses during the COVID‐19 pandemic. Expanded access to Medicaid may insulate some households from long uninsurance gaps due to job loss. DATA SOURCE: Phase 1 of the Census Bureau's Experimental Household Pulse Survey covering April 23, 2020–July 21, 2020. STUDY DESIGN: We compare differences in health insurance coverage source and status linked to recent lob losses attributable to the COVID‐19 pandemic in states that expanded Medicaid against states that did not expand Medicaid. DATA COLLECTION/EXTRACTION METHODS: Our analytical dataset was limited to 733,181 non‐elderly adults aged 20–64. PRINCIPAL FINDINGS: Twenty‐six percent of our study sample experienced an income loss between March 13, 2020, and the time leading up to the survey—16% experienced job losses (e.g., layoff, furlough) due to the COVID‐19 crisis, and 11% had other reasons they were not working. COVID‐linked job losses were associated with a 20 (p < 0.01) percentage‐point (PPT) lower likelihood of having employer‐sponsored health insurance (ESI). Relative to persons in states that did not expand Medicaid, persons in Medicaid expansion states experiencing COVID‐linked job losses were 9 PPT (p < 0.01) more likely to report having Medicaid and 7 PPT (p < 0.01) less likely to be uninsured. The largest increases in Medicaid enrollment were among people who, based on their 2019 incomes, would not have qualified for Medicaid previously. CONCLUSIONS: Our findings suggest that expanded Medicaid eligibility may allow households to stabilize health care needs and they should become detached from private health coverage due to job loss during the pandemic. Households negatively affected by the pandemic are using Medicaid to insure themselves against the potential health risks they would incur while being unemployed.
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spelling pubmed-93497122022-08-04 COVID‐19‐related Medicaid enrollment in Medicaid expansion and non‐expansion states Benitez, Joseph A. Dubay, Lisa Health Serv Res Covid‐19 RESEARCH OBJECTIVE: To explore whether expanded Medicaid helps mitigate the relationship between unemployment due to COVID and being uninsured. Unanticipated unemployment spells are generally associated with disruptions in health insurance coverage, which could also be the case for job losses during the COVID‐19 pandemic. Expanded access to Medicaid may insulate some households from long uninsurance gaps due to job loss. DATA SOURCE: Phase 1 of the Census Bureau's Experimental Household Pulse Survey covering April 23, 2020–July 21, 2020. STUDY DESIGN: We compare differences in health insurance coverage source and status linked to recent lob losses attributable to the COVID‐19 pandemic in states that expanded Medicaid against states that did not expand Medicaid. DATA COLLECTION/EXTRACTION METHODS: Our analytical dataset was limited to 733,181 non‐elderly adults aged 20–64. PRINCIPAL FINDINGS: Twenty‐six percent of our study sample experienced an income loss between March 13, 2020, and the time leading up to the survey—16% experienced job losses (e.g., layoff, furlough) due to the COVID‐19 crisis, and 11% had other reasons they were not working. COVID‐linked job losses were associated with a 20 (p < 0.01) percentage‐point (PPT) lower likelihood of having employer‐sponsored health insurance (ESI). Relative to persons in states that did not expand Medicaid, persons in Medicaid expansion states experiencing COVID‐linked job losses were 9 PPT (p < 0.01) more likely to report having Medicaid and 7 PPT (p < 0.01) less likely to be uninsured. The largest increases in Medicaid enrollment were among people who, based on their 2019 incomes, would not have qualified for Medicaid previously. CONCLUSIONS: Our findings suggest that expanded Medicaid eligibility may allow households to stabilize health care needs and they should become detached from private health coverage due to job loss during the pandemic. Households negatively affected by the pandemic are using Medicaid to insure themselves against the potential health risks they would incur while being unemployed. Blackwell Publishing Ltd 2022-07-22 2022-12 /pmc/articles/PMC9349712/ /pubmed/35808954 http://dx.doi.org/10.1111/1475-6773.14029 Text en © 2022 The Authors. Health Services Research published by Wiley Periodicals LLC on behalf of Health Research and Educational Trust. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Covid‐19
Benitez, Joseph A.
Dubay, Lisa
COVID‐19‐related Medicaid enrollment in Medicaid expansion and non‐expansion states
title COVID‐19‐related Medicaid enrollment in Medicaid expansion and non‐expansion states
title_full COVID‐19‐related Medicaid enrollment in Medicaid expansion and non‐expansion states
title_fullStr COVID‐19‐related Medicaid enrollment in Medicaid expansion and non‐expansion states
title_full_unstemmed COVID‐19‐related Medicaid enrollment in Medicaid expansion and non‐expansion states
title_short COVID‐19‐related Medicaid enrollment in Medicaid expansion and non‐expansion states
title_sort covid‐19‐related medicaid enrollment in medicaid expansion and non‐expansion states
topic Covid‐19
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9349712/
https://www.ncbi.nlm.nih.gov/pubmed/35808954
http://dx.doi.org/10.1111/1475-6773.14029
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