The Affordable Care Act’s Coverage Impacts in the Trump Era

Courtemanche, Charles; Fazlul, Ishtiaque; Marton, James; Ukert, Benjamin; Yelowitz, Aaron; Zapata, Daniela

doi:10.1177/00469580211042973

Cited by 4 publications

(2 citation statements)

References 51 publications

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“…By 2016, 33 out of 50 states had implemented Medicaid expansion. The Medicaid expansion was lower in the southern region, where only 7 out of 16 states had implemented Medicaid expansion by the year 2016 9 . This observation also explains the absence of a sharp decline among uninsured patients in the southern region, unlike other regions in the US.…”

Section: Figmentioning

confidence: 99%

The trends in the uninsured rates among non-elderly adult patients hospitalized with acute pancreatitis in the US during 2004-2019

Kumar

Barkoudah

Jin

et al. 2022

Preprint

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Background and Aim: The impact of health reforms such as affordability care act (ACA) and Medicaid extension program on health insurance coverage among acute pancreatitis (AP) patients in the United States (US) is unknown. We report the trends and forecasts for the uninsured rates among acute pancreatitis (AP) patients in the US. Methods: We included non-elderly adult patients (aged 18 -64 years), hospitalized with AP in the nationwide inpatient sample database years 2004- 2019. We calculated the percentage of uninsured and Medicaid patients for each year and applied joinpoint (JP) regression model to study the trends. Results The uninsured rates among patients hospitalized with AP were almost twice compared to the national average rates for all hospitalized patients. Uninsured rates were higher among Hispanic and African American races, rural location, lower income quartiles and in the southern US regions. A statistically significant decline was observed during 2013-2016 with an APC of -12.23 ( -20- -4); p<0.01). The decline was apparent among all racial groups, locations and income groups but not in the southern region where gap in the uninsured rates worsened compared to other geographical regions. The trends reversed more recently, and the uninsured rates surged in 2018 for the first time after 2010. In 2019, 12.5% AP patients were uninsured compared to 11.6% in 2017. Conclusions: The ACA and Medicaid extension programs had a positive impact on the health insurance coverage among patients hospitalized with AP including racial minorities and low-income groups. However, the positive impact of ACA on the uninsured rates has decreased in most recent years (2017-2019) and may disappear completely in the coming years.

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Section: Figmentioning

confidence: 99%

The trends in the uninsured rates among non-elderly adult patients hospitalized with acute pancreatitis in the US during 2004-2019

Kumar

Barkoudah

Jin

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Furthermore, there is reason to believe that these late expansions may also have differential effects when compared to the first wave of ACA expansions. For example, Courtemanche and colleagues 76 finds insurance coverage gains falling between 2016 and 2019.…”

mentioning

confidence: 99%

Better Late Than Never: Effects of Late ACA Medicaid Expansions for Parents on Family Health-Related Financial Well-Being

Lombardi

Bullinger

Gopalan

2022

INQUIRY

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Public health insurance eligibility for low-income adults has improved adult economic well-being. But whether parental public health insurance eligibility has spillover effects on children’s health insurance coverage and family health-related financial well-being is less understood. We use the 2016 to 2020 National Survey of Children’s Health (NSCH) to estimate the effects of Medicaid expansions through the Affordable Care Act (ACA) for parents on child health insurance coverage, parents’ employment decisions due to child health, and family health-related financial well-being. We compare children in low-income families in states that expanded Medicaid for parents after 2015 to states that never expanded in a difference-in-differences framework. We find that these expansions were associated with increases in children’s public health insurance coverage by 5.5 percentage points and reductions in private coverage by 5 percentage points. We additionally find that parents were less likely to avoid changing jobs for health insurance reasons and children’s medical expenses were less likely to exceed $1000. We find no evidence that the expansions affected children’s dual coverage and uninsurance. Our estimates are robust to falsification and sensitivity analyzes. Our findings also suggest that benefits on children’s medical expenses are concentrated in the families with the greatest financial need.

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Pandemic‐era changes to medicaid enrollment and funding: Implications for future policy and research

Dague,

Ukert

2023

J Policy Anal Manage

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The COVID‐19 public health emergency led to federal legislation that changed the landscape of Medicaid coverage for low‐income people in the United States. Policy responses led to a surge in Medicaid caseloads due to new rules preventing Medicaid disenrollment, and total Medicaid enrollment increased more from 2020 to 2023 than the net increase in insurance coverage from 2013 to 2017 following the Affordable Care Act's implementation. It is crucial for scholars and practitioners to understand the implications of this continuous coverage policy and its 2023–2024 unwinding. This paper provides an overview of Medicaid enrollment, renewal, and funding policies, highlighting how policy changed during and immediately following the acute phase of the pandemic; describes enrollment increases and their composition; reviews relevant literature; and identifies key areas for research. By examining this unprecedented period in Medicaid, we can inform future policy decisions and optimize safety net programs to be effective under a broad set of circumstances.

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The Affordable Care Act’s Coverage Impacts in the Trump Era

Cited by 4 publications

References 51 publications

The trends in the uninsured rates among non-elderly adult patients hospitalized with acute pancreatitis in the US during 2004-2019

The trends in the uninsured rates among non-elderly adult patients hospitalized with acute pancreatitis in the US during 2004-2019

Better Late Than Never: Effects of Late ACA Medicaid Expansions for Parents on Family Health-Related Financial Well-Being

Pandemic‐era changes to medicaid enrollment and funding: Implications for future policy and research

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