Literature DB >> 24710866

Effect of expansions in state Medicaid eligibility on access to care and the use of emergency department services for adult Medicaid enrollees.

Chima D Ndumele1, Vincent Mor2, Susan Allen2, James F Burgess3, Amal N Trivedi2.   

Abstract

IMPORTANCE: Medicaid enrollees typically report worse access to care than other insured populations. Expansions in Medicaid through less restrictive income eligibility requirements and the resulting influx of new enrollees may further erode access to care for those already enrolled in Medicaid.
OBJECTIVE: To assess the effect of previous Medicaid expansions on self-reported access to care and the use of emergency department services by Medicaid enrollees. DESIGN, SETTING, AND PARTICIPANTS: Quasi-experimental difference-in-differences design among 1714 adult Medicaid enrollees in 10 states that expanded Medicaid between June 1, 2000, and October 1, 2009, and 5097 Medicaid enrollees in 14 bordering control states that did not expand Medicaid. MAIN OUTCOMES AND MEASURES: Self-reported access to care and annualized emergency department use.
RESULTS: Among states expanding their Medicaid program for adults, the mean income eligibility level increased from 82.6% to 144.2% of the federal poverty level. Income eligibility in matched control states remained constant at 77.1% of the federal poverty level. The proportion of adults reporting being enrolled in Medicaid increased from 7.2% to 8.8% in expansion states and from 6.1% to 6.4% in matched control states. In Medicaid program expansion states, the proportion of Medicaid enrollees reporting poor access to care declined from 8.5% before the expansion to 7.3% after the expansion. In matched control states, the proportion of Medicaid enrollees reporting poor access to care remained constant at 5.3%. The proportion of enrollees reporting any emergency department use decreased from 41.2% to 40.1% in expansion states and from 37.3% to 36.1% in matched control states. In the period following expansions, newly eligible enrollees reported poorer access to care than previously enrolled beneficiaries, although the overall difference between groups did not reach statistical significance. CONCLUSIONS AND RELEVANCE: We found no evidence that expanding the number of individuals eligible for Medicaid coverage eroded perceived access to care or increased the use of emergency services among adult Medicaid enrollees.

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Year:  2014        PMID: 24710866      PMCID: PMC5567677          DOI: 10.1001/jamainternmed.2014.588

Source DB:  PubMed          Journal:  JAMA Intern Med        ISSN: 2168-6106            Impact factor:   21.873


  24 in total

1.  Changes in medicaid physician fees, 1998-2003: implications for physician participation.

Authors:  Stephen Zuckerman; Joshua McFeeters; Peter Cunningham; Len Nichols
Journal:  Health Aff (Millwood)       Date:  2004 Jan-Jun       Impact factor: 6.301

2.  Policy makers should prepare for major uncertainties in Medicaid enrollment, costs, and needs for physicians under health reform.

Authors:  Benjamin D Sommers; Katherine Swartz; Arnold Epstein
Journal:  Health Aff (Millwood)       Date:  2011-10-26       Impact factor: 6.301

3.  An evaluation of statewide emergency department utilization following Tennessee Medicaid disenrollment.

Authors:  Benjamin S Heavrin; Rongwei Fu; Jin H Han; Alan B Storrow; Robert A Lowe
Journal:  Acad Emerg Med       Date:  2011-11-01       Impact factor: 3.451

4.  Assessing the value of the NHIS for studying changes in state coverage policies: the case of New York.

Authors:  Sharon K Long; John A Graves; Stephen Zuckerman
Journal:  Health Serv Res       Date:  2007-12       Impact factor: 3.402

5.  Trends in Medicaid physician fees, 2003-2008.

Authors:  Stephen Zuckerman; Aimee F Williams; Karen E Stockley
Journal:  Health Aff (Millwood)       Date:  2009-04-28       Impact factor: 6.301

6.  The Medicaid expansion is not such a good deal for states or the poor.

Authors:  Joseph Antos
Journal:  J Health Polit Policy Law       Date:  2012-10-10       Impact factor: 2.265

7.  Health status, risk factors, and medical conditions among persons enrolled in Medicaid vs uninsured low-income adults potentially eligible for Medicaid under the Affordable Care Act.

Authors:  Sandra L Decker; Deliana Kostova; Genevieve M Kenney; Sharon K Long
Journal:  JAMA       Date:  2013-06-26       Impact factor: 56.272

8.  State variation in primary care physician supply: implications for health reform Medicaid expansions.

Authors:  Peter J Cunningham
Journal:  Res Brief       Date:  2011-03

9.  In 2011 nearly one-third of physicians said they would not accept new Medicaid patients, but rising fees may help.

Authors:  Sandra L Decker
Journal:  Health Aff (Millwood)       Date:  2012-08       Impact factor: 6.301

10.  Impact of Medicaid Expansion on Early Prenatal Care and Health Outcomes.

Authors:  Arnold M Epstein; Joseph P Newhouse
Journal:  Health Care Financ Rev       Date:  1998
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  8 in total

1.  Association of State Access Standards With Accessibility to Specialists for Medicaid Managed Care Enrollees.

Authors:  Chima D Ndumele; Michael S Cohen; Paul D Cleary
Journal:  JAMA Intern Med       Date:  2017-10-01       Impact factor: 21.873

2.  Medicaid Expansion and Health Plan Quality in Medicaid Managed Care.

Authors:  Chima D Ndumele; William L Schpero; Amal N Trivedi
Journal:  Health Serv Res       Date:  2017-12-12       Impact factor: 3.402

3.  The ACA's 65th Birthday Challenge: Moving from Medicaid to Medicare.

Authors:  Chima D Ndumele; Benjamin D Sommers; Amal N Trivedi
Journal:  J Gen Intern Med       Date:  2015-11       Impact factor: 5.128

4.  Oregon's Emphasis On Equity Shows Signs Of Early Success For Black And American Indian Medicaid Enrollees.

Authors:  K John McConnell; Christina J Charlesworth; Thomas H A Meath; Rani M George; Hyunjee Kim
Journal:  Health Aff (Millwood)       Date:  2018-03       Impact factor: 6.301

5.  Disparities in Health Care Spending and Utilization Among Black and White Medicaid Enrollees.

Authors:  Jacob Wallace; Anthony Lollo; Kate A Duchowny; Matthew Lavallee; Chima D Ndumele
Journal:  JAMA Health Forum       Date:  2022-06-10

6.  Ohio's Medicaid Expansion and Unmet Health Needs Among Low-Income Women of Reproductive Age.

Authors:  Thalia P Farietta; Bo Lu; Rachel Tumin
Journal:  Matern Child Health J       Date:  2018-12

Review 7.  The Affordable Care Act's Impacts on Access to Insurance and Health Care for Low-Income Populations.

Authors:  Gerald F Kominski; Narissa J Nonzee; Andrea Sorensen
Journal:  Annu Rev Public Health       Date:  2016-12-15       Impact factor: 21.981

8.  Mental Health and Drivers of Need in Emergent and Non-Emergent Emergency Department (ED) Use: Do Living Location and Non-Emergent Care Sources Matter?

Authors:  Moira C McManus; Robert J Cramer; Maureen Boshier; Muge Akpinar-Elci; Bonnie Van Lunen
Journal:  Int J Environ Res Public Health       Date:  2018-01-13       Impact factor: 3.390

  8 in total

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