Evidence map›Paper›PMID 31228048›Full record

ArticleJournal of general internal medicine2019

The Impact of Medicaid Expansion on Continuous Enrollment: a Two-State Analysis.

Sarah H Gordon, Benjamin D Sommers, Ira Wilson, Omar Galarraga, Amal N Trivedi

Abstract readComparative Study
In one paragraph

Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Sarah H GordonDepartment of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI, USA. Sarah_h_gordon@brown.edu.
Benjamin D SommersDepartment of Health Policy and Management, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Ira WilsonDepartment of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI, USA.
Omar GalarragaDepartment of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI, USA.
Amal N TrivediDepartment of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI, USA.

Funding

AHRQ HHS R36 HS025560
6 · The paper itself

Abstract

backgroundDiscontinuous Medicaid insurance erodes access to care, increases administrative costs, and exposes enrollees to substantial out-of-pocket spending.

objectiveTo assess the impact of Medicaid expansion under the Affordable Care Act on continuity of Medicaid coverage among those enrolled prior to expansion.

designUsing a difference-in-differences framework, we compared Colorado, a state that expanded Medicaid, to Utah, a nonexpansion state, before and after Medicaid expansion implementation.

participantsAdults ages 18-62 who were enrolled in Medicaid coverage in Colorado and Utah prior to expansion, from the Utah and Colorado All Payer Claims Databases, 2013-2015. MAIN MEASURES: The primary outcomes were the duration of Medicaid enrollment and rates of disrupted coverage. KEY

resultsFollowing Medicaid expansion, enrollees in Colorado gained an additional 2 months of coverage over two years of follow-up and were 16 percentage points less likely to experience a coverage disruption in a given year relative to enrollees in Utah.

conclusionsIncreasing Medicaid eligibility levels under the Affordable Care Act appears to be an effective strategy to reduce churning in the Medicaid program, with important implications for other states that are considering Medicaid expansion.

Indexed as

AdultCohort StudiesColoradoFemaleHealth Services AccessibilityHumansInsurance CoverageInsurance, HealthMaleMedicaidMiddle AgedPatient Protection and Affordable Care ActUnited StatesUtahYoung Adultaccess to carecontinuity of carehealth insurancehealth policyMedicaidvulnerable populations

Identifiers

PMID31228048
PMCPMC6712155

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.