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Medicaid Disenrollment and Disparities in Access to Care: Evidence from Tennessee.


ABSTRACT:

Objective

To assess the effects of Tennessee's 2005 Medicaid disenrollment on access to health care among low-income nonelderly adults.

Data source/study setting

We use data from the 2003-2008 Behavioral Risk Factor Surveillance System.

Study design

We examined the effects of Medicaid disenrollment on access to care among adults living in Tennessee compared with neighboring states, using difference-in-difference models.

Principal findings

Evidence suggests that Medicaid disenrollment resulted in significant decreases in health insurance and increases in cost-related barriers to care for low-income adults living in Tennessee. Statistically significant changes were not observed for having a personal doctor.

Conclusions

Medicaid disenrollment is associated with reduced access to care. This finding is relevant for states considering expansions or contractions of Medicaid under the Affordable Care Act.

SUBMITTER: Tarazi WW 

PROVIDER: S-EPMC5441498 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature

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Publications

Medicaid Disenrollment and Disparities in Access to Care: Evidence from Tennessee.

Tarazi Wafa W WW   Green Tiffany L TL   Sabik Lindsay M LM  

Health services research 20160603 3


<h4>Objective</h4>To assess the effects of Tennessee's 2005 Medicaid disenrollment on access to health care among low-income nonelderly adults.<h4>Data source/study setting</h4>We use data from the 2003-2008 Behavioral Risk Factor Surveillance System.<h4>Study design</h4>We examined the effects of Medicaid disenrollment on access to care among adults living in Tennessee compared with neighboring states, using difference-in-difference models.<h4>Principal findings</h4>Evidence suggests that Medic  ...[more]

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