The Impact of Medicaid Expansion on Continuous Enrollment: a Two-State Analysis.

ABSTRACT:

Background

Discontinuous Medicaid insurance erodes access to care, increases administrative costs, and exposes enrollees to substantial out-of-pocket spending.

Objective

To assess the impact of Medicaid expansion under the Affordable Care Act on continuity of Medicaid coverage among those enrolled prior to expansion.

Design

Using a difference-in-differences framework, we compared Colorado, a state that expanded Medicaid, to Utah, a nonexpansion state, before and after Medicaid expansion implementation.

Participants

Adults ages 18-62 who were enrolled in Medicaid coverage in Colorado and Utah prior to expansion, from the Utah and Colorado All Payer Claims Databases, 2013-2015.

Main measures

The primary outcomes were the duration of Medicaid enrollment and

SUBMITTER: Gordon SH 

PROVIDER: S-EPMC6712155 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature