Journal article
Effect of Medicaid Expansion on Health Insurance for Low-Income Nursing Home Aides
Journal of applied gerontology, Vol.42(2), pp.231-240
02/2023
DOI: 10.1177/07334648221132121
Abstract
We examine how the Affordable Care Act Medicaid expansion affected the insurance coverage and the sources of coverage among low-income nursing home aides using the 2010–2019 American Community Survey data. Insurance coverage for low-income nursing home aides increased from about 60% to nearly 90% in expansion states but rose to only about 80% in nonexpansion states. Using a difference-in-differences regression design, we find that Medicaid expansion was associated with a 5.1 percentage-point increase in overall insurance coverage. Expansion states had a 12.2 percentage-point gain in Medicaid that was partially offset by a 6.4 percentage-point reduction in private insurance coverage. Our results show that ACA Medicaid expansion increased insurance coverage for low-income nursing home aides; however, there was substantial crowd-out of private insurance coverage in this population. Policymakers should consider expanding Medicaid while incentivizing affordable private health insurance options for low-income nursing home aides to improve insurance coverage.
Details
- Title: Subtitle
- Effect of Medicaid Expansion on Health Insurance for Low-Income Nursing Home Aides
- Creators
- Lili Xu - University of IowaHari Sharma - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of applied gerontology, Vol.42(2), pp.231-240
- Publisher
- SAGE Publications
- DOI
- 10.1177/07334648221132121
- ISSN
- 0733-4648
- eISSN
- 1552-4523
- Language
- English
- Electronic publication date
- 10/07/2022
- Date published
- 02/2023
- Academic Unit
- Health Management and Policy
- Record Identifier
- 9984304051602771
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