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- Title
Medicaid Expansion and ACA Repeal: Evidence From Ohio.
- Authors
Seiber, Eric E.; Berman, Micah L.
- Abstract
Objectives.To examine the health insurance coverage options for Medicaid expansion enrollees if the Affordable Care Act (ACA) is repealed, using evidence from Ohio, where more than half a million adults have enrolled in thestate's Medicaid program through the ACA expansion. Methods. The Ohio Medicaid Assessment Survey interviewed 42 000 households in 2015. We report data from a unique battery of questions designed to identify insurance coverage immediately prior to Medicaid enrollment. Results. Ninety-five percent of new Medicaid enrollees in Ohio did not have a private health insurance option immediately before enrollment. These new enrollees are predominantly older, low-income Whites with a high school education or less. Only 5% of new Medicaid enrollees were eligible for an employer-sponsored insurance plan to which they could potentially return in the case of repeal of the ACA. Conclusions. The vast majority of Medicaid expansion enrollees would have no plausible pathway to obtaining private-sector insurance if the ACA were repealed. Demographic similarities between the expansion population and 2016 exit polls suggest that coverage losses would fall disproportionately on members of the winning Republican coalition.
- Subjects
OHIO; UNITED States; MEDICAID; PATIENT Protection &; Affordable Care Act; REPEAL of legislation; HEALTH insurance; MEDICAID beneficiaries; SURVEYS; PRIVATE sector; PUBLIC opinion polls; TWENTY-first century; ECONOMIC impact; INTERVIEWING; PRACTICAL politics; POVERTY; WHITE people; HEALTH insurance reimbursement; EDUCATIONAL attainment; DESCRIPTIVE statistics; LAW; LEGISLATION
- Publication
American Journal of Public Health, 2017, Vol 107, Issue 6, p889
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2017.303722