There’s Something About Medicaid

Weil, Alan R.

doi:10.1377/hlthaff.22.1.13

Cited by 60 publications

(32 citation statements)

References 4 publications

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“…State expansion effects may be heterogeneous, given that Medicaid programs vary considerably across states in many domains (Weil, 2003), including provider payment rates, provider adequacy, patient cost-sharing, covered benefits, and use of managed care -which has been the exclusive delivery model used in Arizona's Medicaid program since its inception in 1982 (McCall, 1997). New York's population also predominates in the full sample.…”

Section: Ive Robustness Checks and Omitting New York From The Samplementioning

confidence: 99%

State Medicaid Expansions and Mortality, Revisited: A Cost-Benefit Analysis

Sommers¹

2017

American Journal of Health Economics

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Previous research found that Medicaid expansions in New York, Arizona, and Maine in the early 2000's reduced mortality. I revisit this question with improved data and methods, exploring distinct causes of death and presenting a cost-benefit analysis. Differences-in-differences analysis using a propensity-score control group shows that all-cause mortality declined by 6%, with the most robust reductions for healthcare-amenable causes. HIV-related mortality (affected by the recent introduction of antiretrovirals) accounted for 20% of the effect. Mortality changes were closely linked to county-level coverage gains, with one life saved annually for every 239-316 adults gaining insurance. The results imply a cost-per-life saved ranging from $327,000 to $867,000, which compares favorably to most estimates of the value of a statistical life.

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Section: Ive Robustness Checks and Omitting New York From The Samplementioning

confidence: 99%

State Medicaid Expansions and Mortality, Revisited: A Cost-Benefit Analysis

Sommers¹

2017

American Journal of Health Economics

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“…Depending on their age, gender, source of employment, and legal status, members of a single family might enroll in four or five different health insurance programs (99). Almost by default, Medicaid has 204 OLIVER become the primary source of support for not only pregnant mothers and children, but also the elderly in need of institutionalized long-term care, individuals infected with HIV, and services delivered by safety net providers to the uninsured (26,198).…”

Section: Sources Of Incrementalism In Health Policy Makingmentioning

confidence: 99%

The Politics of Public Health Policy

Oliver

2006

Annu. Rev. Public Health

257

179

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Key Words agenda setting, incrementalism, health reform, policy entrepreneur, implementation ■ Abstract Politics, for better or worse, plays a critical role in health affairs. The purpose of this article is to articulate a role for political analysis of public health issues, ranging from injury and disease prevention to health care reform. It begins by examining how health problems make it onto the policy agenda. Perceptions regarding the severity of the problem, responsibility for the problem, and affected populations all influence governmental responses. Next, it considers how bounded rationality, fragmented political institutions, resistance from concentrated interests, and fiscal constraints usually lead political leaders to adopt incremental policy changes rather than comprehensive reforms even when faced with serious public health problems. It then identifies conditions under which larger-scale transformation of health policy can occur, focusing on critical junctures in policy development and the role of policy entrepreneurs in seizing opportunities for innovation. Finally, it reviews the challenges confronting officials and agencies who are responsible for implementing and administering health policies. Public health professionals who understand the political dimensions of health policy can conduct more realistic research and evaluation, better anticipate opportunities as well as constraints on governmental action, and design more effective policies and programs.

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“…1 States must now cover pregnant women with incomes up to 133% of the federal poverty level, and most set more generous eligibility standards. 2 The proportion of pregnancies covered by Medicaid increased from 17% in 1985 to 35% in 1998. 3 This expanded coverage was implemented to improve birth outcomes by improving access to prenatal care.…”

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confidence: 99%

Medicaid and Preterm Birth and Low Birth Weight: The Last Two Decades

Anum

Retchin

Strauss

2010

Journal of Women's Health

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Objectives: To determine if (1) birth outcomes among women on Medicaid differ significantly from outcomes of those with private insurance, after controlling for known risk factors, and (2) enhanced prenatal care influences care use and birth outcomes. Methods: This is a review of studies published between 1989 and 2009 that examined birth outcomes (1) between women on Medicaid and those with private insurance and (2) among Medicaid enrollees who received comprehensive prenatal care. Results: When corrected for risk variables, birth outcomes are not different between private insurance and Medicaid patients. The impact of comprehensive prenatal care programs on birth outcomes varies across states and regions. Conclusions: There is a need for critical evaluation of comprehensive programs in a regional and state context to determine opportunities for improvement.

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There’s Something About Medicaid

Cited by 60 publications

References 4 publications

State Medicaid Expansions and Mortality, Revisited: A Cost-Benefit Analysis

State Medicaid Expansions and Mortality, Revisited: A Cost-Benefit Analysis

The Politics of Public Health Policy

Medicaid and Preterm Birth and Low Birth Weight: The Last Two Decades

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