Medicaid healthy behavior incentives and use of dental services.

ABSTRACT:

Objective

To examine changes in access to dental care in states using Section 1115 waivers to implement healthy behavior incentive (HBI) programs in their Medicaid expansion under the ACA, compared to traditional expansion states and nonexpansion states.

Data sources

Behavioral Risk Factor Surveillance System from 2008 to 2018.

Study design

We used difference-in-differences analysis to compare changes in three Medicaid expansion states with HBI (Iowa, Indiana, Michigan) to traditional expansion (Minnesota, North Dakota, Ohio) and nonexpansion states (Nebraska, South Dakota, Wyoming) in the same mid-Western region of the country. The sample included 32 556 low-income adults.

Data collection/extraction methods

NA.

Principal findings

We found no significant

SUBMITTER: Elani HW 

PROVIDER: S-EPMC8313965 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature