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dc.contributor.authorSommers, Benjamin Daniel
dc.contributor.authorBlendon, Robert J.
dc.contributor.authorOrav, E. John
dc.date.accessioned2016-02-10T21:58:25Z
dc.date.issued2016
dc.identifier.citationSommers, B. D., R. J. Blendon, and E. J. Orav. 2016. “Both The ’Private Option And Traditional Medicaid Expansions Improved Access To Care For Low-Income Adults.” Health Affairs 35 (1) (January 1): 96–105. doi:10.1377/hlthaff.2015.0917.en_US
dc.identifier.issn0278-2715en_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:25156227
dc.description.abstractUnder the Affordable Care Act, thirty states and the District of Columbia have expanded eligibility for Medicaid, with several states using Medicaid funds to purchase private insurance (the “private option”). Despite vigorous debate over the use of private insurance versus traditional Medicaid to provide coverage to low-income adults, there is little evidence on the relative merits of the two approaches. We compared the first-year impacts of traditional Medicaid expansion in Kentucky, the private option in Arkansas, and nonexpansion in Texas by conducting a telephone survey of two distinct waves of low-income adults (5,665 altogether) in those three states in November–December 2013 and twelve months later. Using a difference-in-differences analysis, we found that the uninsurance rate declined by 14 percentage points in the two expansion states, compared to the nonexpansion state. In the expansion states, again compared to the nonexpansion state, skipping medications because of cost and trouble paying medical bills declined significantly, and the share of individuals with chronic conditions who obtained regular care increased. Other than coverage type and trouble paying medical bills (which decreased more in Kentucky than in Arkansas), there were no significant differences between Kentucky’s traditional Medicaid expansion and Arkansas’s private option, which suggests that both approaches improved access among low-income adults.en_US
dc.language.isoen_USen_US
dc.publisherHealth Affairs (Project Hope)en_US
dc.relation.isversionofdoi:10.1377/hlthaff.2015.0917en_US
dash.licenseOAP
dc.titleBoth The 'Private Option And Traditional Medicaid Expansions Improved Access To Care For Low-Income Adultsen_US
dc.typeJournal Articleen_US
dc.description.versionAccepted Manuscripten_US
dc.relation.journalHealth Affairsen_US
dash.depositing.authorSommers, Benjamin Daniel
dc.date.available2016-02-10T21:58:25Z
dash.funder.nameAgency for Healthcare Research and Qualityen_US
dash.funder.nameCommonwealth Funden_US
dash.funder.awardK02HS021291en_US
dc.identifier.doi10.1377/hlthaff.2015.0917*
dash.contributor.affiliatedBlendon, Robert
dash.contributor.affiliatedOrav, Endel
dash.contributor.affiliatedSommers, Benjamin


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