Do those with chronic health conditions benefit from the Affordable Care Act Medicaid expansion? uri icon

abstract

  • AbstractWe evaluate the impact of Affordable Care Act Medicaid expansion on coverage, access to care, and selfreported health, for the vulnerable and chronically ill using data from the behavioral risk factor surveillance system (BRFSS). Using 5years of postreform data between 2014 and 2018 and a differenceindifferences identification strategy, we find that the Medicaid expansion improved coverage and access to care among both those with and without chronic conditions. While the effect sizes are mostly larger for those with a chronic condition, the differences in magnitude are not statistically significant. We also find statistically significant improvements in selfassessed health for those without chronic conditions. Finally, we find larger improvements in coverage and access to care among those with chronic conditions in states with higherthanaverage preACA uninsured rates for those with chronic conditions, though these coverage and access gains did not translate into health improvements for this group.

published proceedings

  • SOUTHERN ECONOMIC JOURNAL
  • Southern Economic Journal

altmetric score

  • 2.35

author list (cited authors)

  • Hoodin, D., Marton, J., & Ukert, B.

citation count

  • 2

complete list of authors

  • Hoodin, Derek||Marton, James||Ukert, Benjamin

publication date

  • March 2022

publisher