The Impact of the ACA Medicaid Expansions on Health Insurance Coverage through 2015 and Coverage Disparities by Age, Race/Ethnicity, and Gender.

ABSTRACT:

Objective

Examine the ACA Medicaid expansion effects on Medicaid take-up and private coverage through 2015 and coverage disparities by age, race/ethnicity, and gender.

Data sources

2011-2015 American Community Survey for 3,137,989 low-educated adults aged 19-64 years.

Study design

Difference-in-differences regressions accounting for national coverage trends and state fixed effects.

Principal findings

Expansion effects doubled in 2015 among low-educated adults, with a nearly 8 percentage-point increase in Medicaid take-up and 6 percentage-point decline in uninsured rate. Significant coverage gains were observed across virtually all examined groups by age, gender, and race/ethnicity. Take-up and insurance declines were strongest among younger adults and were gene

SUBMITTER: Wehby GL 

PROVIDER: S-EPMC5867173 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature