18 Jul Medicaid Expansion Increased Insurance Access For Those With Disabilities
MedicalResearch.com Interview with:
Jim Stimpson, PhD
Professor, Associate Dean for Academic Affairs
Health Management and Policy
Drexel Dornsife School of Public Health
MedicalResearch.com: What is the background for this study?
Response: We have limited information on the impact of the ACA on persons with a disability, even though nearly 1 in 5 persons in the US has a physical or mental disability.
Prior to the ACA, persons with a disability had complications accessing health insurance for a variety of reasons including lower likelihood of employer-based coverage, reduced access to private insurance due to pre-existing conditions, and income-restrictions for Medicaid coverage that are on average below the poverty threshold across the country.
MedicalResearch.com: What are the main findings?
Response: In this cross-sectional analysis of more than 2.5 million US adults 26-64 years of age with incomes up to 138% of federal poverty level, Medicaid expansion may be responsible, in part, for improved health insurance coverage for persons with a disability.
MedicalResearch.com: What should readers take away from your report?
Response: Medicaid expansion appears to have helped vulnerable populations gain and sustain health insurance coverage.
MedicalResearch.com: What recommendations do you have for future research as a result of this work?
Response: We should look further into the impact of Medicaid expansion for persons suffering from medically determined chronic physical and mental health conditions.
MedicalResearch.com: Is there anything else you would like to add?
Response: Despite the gains in health insurance coverage for persons with a disability, we found gaps in insurance coverage that persist despite improved coverage eligibility in expansion states. Therefore, additional policies and resources should be identified to mitigate the risks of uninsurance for persons with a disability in expansion states.
There is no funding for this study or other disclosures.
Stimpson JP, Kemmick Pintor J, McKenna RM, Park S, Wilson FA. Association of Medicaid Expansion With Health Insurance Coverage Among Persons With a Disability. JAMA Netw Open. Published online July 17, 20192(7):e197136. doi:10.1001/jamanetworkopen.2019.7136
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