Coverage Disruptions and Transitions Across the ACA's Medicaid/Marketplace Income Cutoff.

ABSTRACT:

Background

The Affordable Care Act takes a "patchwork" approach to expanding coverage: Medicaid covers individuals with incomes 138% of the federal poverty level (FPL) in expansion states, while subsidized Marketplace insurance is available to those above this income cutoff.

Objective

To characterize the magnitude of churning between Medicaid and Marketplace coverage and to examine the impact of the 138% FPL income cutoff on stability of coverage.

Design

We measured the incidence of transitions between Medicaid and Marketplace coverage. Then, we used a differences-in-differences framework to compare insurance churning in Medicaid expansion and non-expansion states, before and after the ACA, among adults with incomes 100-200% of poverty.

Participants

Non-elderly

SUBMITTER: Goldman AL 

PROVIDER: S-EPMC9585127 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature