We examined the effect of expansion Medicaid eligibility under Affordable Care Act on health insurance coverage and labor supply low-educated low-income adults. found that expansions were associated with large increases in coverage, for example, 50 percent among childless adults, corresponding decreases proportion uninsured. There was relatively little change private although tended to decrease such slightly. In terms supply, estimates indicated had work effort despite substantial changes...

The sharp reduction in US economic activity associated with public health efforts to slow the spread of COVID-19 virus will likely result millions Americans losing their jobs, at least temporarily. Adding insult injury, many who lose jobs could also insurance. In this paper, we examine kinds insurance unemployed workers have and how coverage patterns shifted under Affordable Care Act (ACA). As ACA's provisions took effect, likelihood adults being uninsured dropped by 35 percent, driven a...

Thirty million workers filed initial unemployment claims between March 15 and April 25. As lose their jobs, many will also employer-sponsored health insurance (ESI), as dependents. Some of these dependents qualify for Medicaid coverage, particularly in states that expanded eligibility under the Affordable Care Act (ACA). Others purchase individual coverage on Marketplaces, possibly with a subsidy to offset premium cost. And be unable replace ESI become uninsured. In this brief, we estimate...

The federal Strong Start for Mothers and Newborns initiative supported alternative approaches to prenatal care, enhancing service delivery through the use of birth centers, group maternity care homes. Using propensity score reweighting control medical social risks, we evaluated impacts Start’s models on outcomes costs by comparing experiences enrollees those Medicaid-covered women who received typical care. We found that in centers had lower rates preterm low-birthweight infants, cesarean...

This DataWatch examines the health insurance coverage of former welfare recipients who left between January 1995 and mid-1997, using data from 1997 National Survey America's Families. Although majority women were working, only 33 percent these obtained through their jobs. Rates uninsurance increase with number months since leaving declines in Medicaid coverage. A year or more after welfare, 49 30 children uninsured.

This article examines the extent of interactions or spillovers between Supplemental Security Income (SSI) and Aid to Families with Dependent Children (AFDC) programs for children. In early 1990s, Social Administration substantially relaxed child eligibility criteria SSI benefits. Since changes, number U.S. children receiving cash medical benefits through tripled nearly 1 million. The describes a family's decision participate in and/or AFDC, uses state-level data three years before, after,...

Using data from a 1992 community survey of children and their parents (or guardians), we found major gaps in mental health insurance coverage. Interestingly, private had no statistically significant effect on use services. Youth without coverage those with public higher rates serious emotional disorder than did insurance. The analysis is based the National Institute Mental Health's Methods for Epidemiology Child Adolescent Disorders (MECA) study, conducted three mainland U.S. sites Puerto Rico.

Objective To estimate the effect of a midwifery model care delivered in freestanding birth center on maternal and infant outcomes when compared with conventional care. Data Sources/Study Setting Birth certificate data for women who gave W ashington D.C. residents other jurisdictions. Study Design Using propensity score modeling instrumental variable analysis, we compare among receive prenatal from midwives usual We match observable characteristics available certificate, use distance to as an...

Abstract Enacted in 1965, Medicare enrolled its first beneficiaries 1966. has provided access to health care for tens of millions Americans aged 65 and older, as well younger individuals with disabilities. To mark 60th anniversary, it is fitting review Medicare's many accomplishments, problems, highlight reforms that can extend build on legacy. The problems mainly relate the financing challenges program poses, beneficiaries, taxpayers, federal budget, approach led significant overpayments...

Objective. To estimate the effects of Medicaid managed care (MMC) programs on enrollees’ access to and use health services at national level. Data Sources/Study Setting 1991–1995 National Health Interview Surveys (NHIS) a 1998 Urban Institute survey state programs. Study Design. Using multivariate regression models, we estimated effect living in county with an MMC program several measures for nonelderly women who receive through AFDC child recipients. We focus mandatory separate primary case...

Objectives:Medicaid pays for about half the births in United States, at very high cost.Compared to usual obstetrical care, care by midwives a birth center could reduce costs Medicaid program.This study draws on information from previous of outcomes determine whether such reduces low income women. Methods:The uses results maternal and infant Family Health Birth Center Washington, D.C. Costs are derived data other national sources cost care. Results:We estimate that save an average $1,163 per...

Efforts to eliminate racial disparities in health and care are a critical national priority, quantifying interpreting measures of these important but challenging parts that effort. This paper offers five recommendations for producing estimates ethnic care. To illustrate recommendations, we provide several empirical examples demonstrate some the ways which disparity interpretation can vary with different definitions estimation methods, affirming importance motivating methodological choices an...

Objective: We sought to explore how mandatory Medicaid managed care programs affect access and use among full-year beneficiaries not receiving SSI or Medicare. Research Design: used data from the 1997 1999 National Survey of America's Families. To establish what beneficiaries' would have been in absence (MMC) control for unobserved county differences, we estimated difference-in-difference models using a comparison group privately insured individuals who expect be affected by MMC. Results:...

Time lags in receiving data from long-standing, large federal surveys complicate real-time estimation of the coverage effects full Affordable Care Act (ACA) implementation. Fast-turnaround household fill some void on recent changes to insurance coverage, but they lack historical that allow analysts account for trends predate ACA, economic fluctuations, and earlier public program expansions when predicting how many people would be uninsured without comprehensive health care reform. Using...

BACKGROUND: Several recent studies of child outpatient mental health service use in the US have shown that having private insurance has no effect on propensity to services. Some also find public coverage beneficial relative insurance. AIMS: This study explores several potential explanations, including inadequate measurement status, bandwagon effects, unobservable heterogeneity and sector substitution for services, lack an use. METHODS: We secondary analysis data from three mainland sites...

Background. Many Medicaid-eligible children are not enrolled in Medicaid and covered by private insurance. Reducing persistent lack of insurance for requires a better understanding why do participate. Research Questions. Does the availability free or low-cost medical services substitute enrollment among children? affordability coverage, particularly offer employer-sponsored (ESI) presence managed care, affect child coverage? Design. We use data from National Health Interview Survey 1994...

Despite many changes made in 2010 and 2011 to Medicare's payment system for short-term stays skilled nursing facilities, a flawed structure continues underpay facilities certain types of patients overpay others. The flaws the create incentives selectively admit or refuse based on type complexity their conditions, while payments that vary with level use encourage providers furnish therapy services, such as rehabilitation care, some might not need. We propose an alternative design demonstrate...