All estimates are weighted to account for the Health and Retirement Study sampling design. Main Outcomes and Measures Any home health care use or any nursing home use in 2014 or 2016. Data were analyzed from January 15, 2018, to December 31, 2019.Įxposures Residence in a state with Medicaid expansion in 2014. Low-income adults who were covered by Medicare and were ineligible for expanded Medicaid were also included in the analysis. Long-term care use from 2008 to 2012 was compared with use from 2014 to 2016 among low-income adults aged 50 to 64 years without Medicare coverage residing in states in which Medicaid coverage expanded in 2014 and those living in states without expansion. Objective To examine the association of Medicaid expansion under the Patient Protection and Affordable Care Act (ACA) with long-term care use among newly eligible low-income adults and among older adults whose eligibility did not change.ĭesign, Setting, and Participants This difference-in-difference cohort study used data from the Health and Retirement Study, a nationally representative longitudinal survey of persons 50 years or older. Importance Medicaid expansion is associated with increased access to health services, increased quality of medical care delivered, and reduced mortality, but little is known about its association with use of long-term care.
Challenges in Clinical Electrocardiography.Millions of new customers signed up for insurance then and are renewing now. The administration also established a long “special enrollment period” related to the pandemic through the spring and summer. “And the subsidies make it more appealing to walk through the door to actually sign up.” “The messaging angle here is also really important to even get people to the door,” said Cynthia Cox, a vice president at the Kaiser Family Foundation who conducts research on the A.C.A.’s effects.
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Research on the uninsured has found that more than half would qualify for free or subsidized health care. And the increased investment in advertising probably attracted many customers who had always had access to good deals but had been unaware that financial help was available. The economic disruptions of the pandemic mean that some Americans who lost job-based coverage may be purchasing their own plans now.
But when it goes away, they are often more frustrated by it than they appreciated the help in the first place.” “When extra help is in place, people really appreciate it. “If nothing else, consumers are price-sensitive, and an expiration of the enhanced subsidies will definitely lead to fewer enrollments,” she said. She, too, worries about what will happen if the subsidies expire. Laura Colbert, the executive director of Georgians for a Healthy Future, a consumer advocacy group that also helps sign Georgians up for coverage, said the big enrollment boost this year came thanks to increased subsidies and advertising - but also a new state reinsurance program that helped lower premiums and attract more insurers into the state’s marketplace. The Build Back Better package would also create new insurance options for poorer residents of those states. Enrollment in Georgia grew by a third from last year, and enrollment in Texas increased by more than a quarter.
Federal health officials said enrollment gains were most pronounced in states that had not expanded their Medicaid programs.
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