Impact of Medicaid coverage expansion under the Affordable Care Act on mammography and pap tests utilization among low-income women.

ABSTRACT:

Introduction

The Affordable Care Act (ACA) expanded the coverage of Medicaid to include entire population with income below 138% of federal poverty line. It remains unclear whether this policy change has improved access to and utilization of health care, particularly use of mammography and Pap tests among poor women.

Methods

We used a difference-in-difference (DID) design to estimate the impact of Medicaid expansion on mammography and Pap tests utilization among low-income women. Expansion states are the treatment group and non-expansion states are the control group. The years 2012-13 are the pre-expansion period and 2015-16 are the post-expansion period for the purpose of estimating the DID parameters.

Results

The difference-in-difference estimate show that likelihoo

SUBMITTER: Alharbi AG 

PROVIDER: S-EPMC6447234 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature