Out-of-pocket spending and financial burden among low income adults after Medicaid expansions in the United States: quasi-experimental difference-in-difference study.

ABSTRACT:

Objective

To examine the association between expansion of the Medicaid program under the Affordable Care Act and changes in healthcare spending among low income adults during the first four years of the policy implementation (2014-17).

Design

Quasi-experimental difference-in-difference analysis to examine out-of-pocket spending and financial burden among low income adults after Medicaid expansions.

Setting

United States.

Participants

A nationally representative sample of individuals aged 19-64 years, with family incomes below 138% of the federal poverty level, from the 2010-17 Medical Expenditure Panel Survey.

Main outcomes and measures

Four annual healthcare spending outcomes: out-of-pocket spending; premium contributions; out-of-pocket plus premium spe

SUBMITTER: Gotanda H 

PROVIDER: S-EPMC7190017 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature