Effect of Medicaid Expansion on Workforce Participation for People With Disabilities

Hall, Jean P.; Shartzer, Adele; Kurth, Noelle K.; Thomas, Kelsey R.

doi:10.2105/ajph.2016.303543

Cited by 51 publications

(36 citation statements)

References 8 publications

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“…Likewise, the proposed Medicaid block grants and more restrictive eligibility would shrink enrollment in this critical program by 17% over the next 8 years, forcing adults with disabilities back to categorical eligibility via SSI enrollment, and discouraging workforce participation. 46 …”

Section: Discussionmentioning

confidence: 99%

Disparities in Insurance Coverage, Health Services Use, and Access Following Implementation of the Affordable Care Act: A Comparison of Disabled and Nondisabled Working-Age Adults

Kennedy

Wood

Frieden

2017

INQUIRY

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The objective of this study was to assess trends in health insurance coverage, health service utilization, and health care access among working-age adults with and without disabilities before and after full implementation of the Affordable Care Act (ACA), and to identify current disability-based disparities following full implementation of the ACA. The ACA was expected to have a disproportionate impact on working-age adults with disabilities, because of their high health care usage as well as their previously limited insurance options. However, most published research on this population does not systematically look at effects before and after full implementation of the ACA. As the US Congress considers new health policy reforms, current and accurate data on this vulnerable population are essential. Weighted estimates, trend analyses and analytic models were conducted using the 1998-2016 National Health Interview Surveys (NHIS) and the 2014 Medical Expenditure Panel Survey. Compared with working-age adults without disabilities, those with disabilities are less likely to work, more likely to earn below the federal poverty level, and more likely to use public insurance. Average health costs for this population are 3 to 7 times higher, and access problems are far more common. Repeal of key features of the ACA, like Medicaid expansion and marketplace subsidies, would likely diminish health care access for working-age adults with disabilities.

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Section: Discussionmentioning

confidence: 99%

Disparities in Insurance Coverage, Health Services Use, and Access Following Implementation of the Affordable Care Act: A Comparison of Disabled and Nondisabled Working-Age Adults

Kennedy

Wood

Frieden

2017

INQUIRY

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“…Also, in countries in which health insurance follows employment status, if people with disabilities are under or unemployed, they face higher risks of being uninsured, and having added difficulties accessing healthcare [48]. In the United States, after the Affordable Care Act, people with disabilities living in Medicaid expansion states were significantly more likely to be employed compared with those in non-expansion states [49]. This expansion helped people with disabilities to increase a proportion of their earnings, which impacted their standard of living in poverty to maintain Medicaid eligibility [49].…”

Section: Leaver #2: Enabling Employment Andmentioning

confidence: 99%

“…In the United States, after the Affordable Care Act, people with disabilities living in Medicaid expansion states were significantly more likely to be employed compared with those in non-expansion states [49]. This expansion helped people with disabilities to increase a proportion of their earnings, which impacted their standard of living in poverty to maintain Medicaid eligibility [49]. All accounted, employment is a meaningful occupation and valuable in itself, but also can protect people from having poor health and well-being, poor finances, and poor access to healthcare when they need.…”

Section: Leaver #2: Enabling Employment Andmentioning

confidence: 99%

A ‘new normal’ following COVID-19 and the economic crisis: Using systems thinking to identify challenges and opportunities in disability, telework, and rehabilitation

Jesus

Landry

Jacobs

2020

WOR

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BACKGROUND: The novel coronavirus (COVID-19) that emerged in late 2019, and later become a global pandemic, has unleashed an almost unprecedented global public health and economic crisis. OBJECTIVE: In this perspective, we examine the effects of COVID-19 and identify a likely ‘new normal’ in terms of challenges and opportunities within the fields of disability, telework, and rehabilitation. METHODS: We use a systems thinking lens informed by recent empirical evidence and peer-reviewed qualitative accounts regarding the pandemic to identify emerging challenges, and pinpoint opportunities related to health and changing employment infrastructure of people with disabilities and rehabilitation professionals. RESULTS: From our interpretation, the key leverage points or opportunities include: (1) developing disability-inclusive public health responses and emergency preparedness; (2) enabling employment and telework opportunities for people with disabilities; (3) addressing the new requirements in rehabilitation service provision, including participating as essential team members in the care of people with infectious diseases such as COVID-19; (4) embracing the added emphasis on, and capacity for, telehealth; and (5) developing greater resilience, distance learning, and employability among the rehabilitation workforce. CONCLUSIONS: The COVID-19 pandemic has become increasingly challenging to the lives of people with disabilities and rehabilitation professionals; however, key challenges can be minimized and opportunities can be capitalized upon in order to ‘build back better’ after COVID-19.

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“…One study found that people with disabilities were more likely to be employed after Medicaid expansion. 17 Another study of Medicaid expansion enrollees in Ohio showed that the program was associated with improvements in ease of working or looking for work, which the authors attributed to health improvements. 18 These studies suggest that changes in health associated with insurance coverage could help achieve improvements in employment outcomes.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2018

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Effect of Medicaid Expansion on Workforce Participation for People With Disabilities

Cited by 51 publications

References 8 publications

Disparities in Insurance Coverage, Health Services Use, and Access Following Implementation of the Affordable Care Act: A Comparison of Disabled and Nondisabled Working-Age Adults

Disparities in Insurance Coverage, Health Services Use, and Access Following Implementation of the Affordable Care Act: A Comparison of Disabled and Nondisabled Working-Age Adults

A ‘new normal’ following COVID-19 and the economic crisis: Using systems thinking to identify challenges and opportunities in disability, telework, and rehabilitation

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

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