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New Approaches In Medicaid: Work Requirements, Health Savings Accounts, And Health Care Access.
- Source :
-
Health affairs (Project Hope) [Health Aff (Millwood)] 2018 Jul; Vol. 37 (7), pp. 1099-1108. Date of Electronic Publication: 2018 Jun 20. - Publication Year :
- 2018
-
Abstract
- Alternative approaches in Medicaid are proliferating under the Trump administration. Using a novel telephone survey, we assessed views on health savings accounts, work requirements, and Medicaid expansion. Our sample consisted of 2,739 low-income nonelderly adults in three Midwestern states: Ohio, which expanded eligibility for traditional Medicaid; Indiana, which expanded Medicaid using health savings accounts called POWER accounts; and Kansas, which has not expanded Medicaid. We found that coverage rates in 2017 were significantly higher in the two expansion states than in Kansas. However, cost-related barriers were more common in Indiana than in Ohio. Among Medicaid beneficiaries eligible for Indiana's waiver program, 39 percent had not heard of POWER accounts, and only 36 percent were making required payments, which means that nearly two-thirds were potentially subject to loss of benefits or coverage. In Kansas, 77 percent of respondents supported expanding Medicaid. With regard to work requirements, 49 percent of potential Medicaid enrollees in Kansas were already employed, 34 percent were disabled, and only 11 percent were not working but would be more likely to look for a job if required by Medicaid. These findings suggest that current Medicaid innovations may lead to unintended consequences for coverage and access.
- Subjects :
- Adult
Female
Humans
Indiana
Kansas
Male
Medicaid trends
Middle Aged
Ohio
Patient Protection and Affordable Care Act
Poverty
United States
Young Adult
Eligibility Determination
Employment
Health Services Accessibility statistics & numerical data
Insurance Coverage statistics & numerical data
Medicaid statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1544-5208
- Volume :
- 37
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Health affairs (Project Hope)
- Publication Type :
- Academic Journal
- Accession number :
- 29924637
- Full Text :
- https://doi.org/10.1377/hlthaff.2018.0331