Full Citation

Title: Effect of Medicaid Expansion on Health Insurance for Low-Income Nursing Home Aides

Citation Type: Journal Article

Publication Year: 2022

ISBN:

ISSN: 15524523

DOI: 10.1177/07334648221132121

NSFID:

PMCID:

PMID: 36206172

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.

Url: https://journals.sagepub.com/doi/abs/10.1177/07334648221132121

User Submitted?: No

Authors: Xu, Lili; Sharma, Hari

Periodical (Full): Journal of Applied Gerontology

Issue: 2

Volume: 42

Pages: 1-10

Data Collections: IPUMS USA

Topics: Health, Population Health and Health Systems, Poverty and Welfare

Countries: