ArticleHealth affairs (Project Hope)2020
Medicaid Expansion Slowed Rates Of Health Decline For Low-Income Adults In Southern States.
Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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.
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.
Who cites it
18 citing papers in PubMed, 35 citations in OpenAlex.
- Who Pays, Who Gains? ACA Medicaid Expansions and Changes in Net Income and Tax Liability by Socioeconomic Status.Health services research · 2026Article
- Age and sex differences in diabetic ketoacidosis outcomes in type 1 diabetes: a national cohort study.BMJ open diabetes research & care · 2026Article
- Safety Net Program Participation Patterns, Sociodemographic Factors, and Health.American journal of preventive medicine · 2025Article
- Medicaid expansion increased income among newly eligible adults.Health affairs scholar · 2025Article
- Outcomes of major cardiac operations are not improved for black patients at black-serving institutions.JTCVS open · 2025Article
- Agent-based modeling of health resources for older adults: accessibility, equity, and last-mile solutions in Fuzhou, China.Frontiers in public health · 2025Article
- Life-Stage and Contextual Factors of Advance Care Planning Among Older Adults With Limited Income.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- Affordability, negative experiences, perceived racism, and health care system distrust among black American women aged 45 and over.AIMS public health · 2024Article
- Improving Older Adults' Health by Reducing Administrative Burden.The Milbank quarterly · 2023Article
- Difference-in-differences for categorical outcomes.Health services research · 2022Article
- Where are the labor markets?: Examining the association between structural racism in labor markets and infant birth weight.Health & place · 2022Article
- Getting to 100%: Research Priorities and Unanswered Questions to Inform the US Debate on Universal Health Insurance Coverage.Journal of general internal medicine · 2022Review
- Association of Medicaid Expansion With 5-Year Changes in Hypertension and Diabetes Outcomes at Federally Qualified Health Centers.JAMA health forum · 2021Article
- Private Insurance and Mental Health among Older Adults with Multiple Chronic Conditions: A Longitudinal Analysis by Race and Ethnicity.International journal of environmental research and public health · 2021Article
- Data Demonstrating a Lack of Black and White Parity in Breast Cancer Mortality Following Medicaid Expansion: Are the Data Granular Enough to Support This?JCO global oncology · 2021Article
- Article
- The impact of the Affordable Care Act on health care access and self-assessed health in the Trump Era (2017-2018).Health services research · 2020Article
- Effects of Virginia's 2019 Medicaid Expansion on Health Insurance Coverage, Access to Care, and Health Status.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 5 institutions in 2 countries.
Funding
Abstract
Of the fourteen states that have not expanded eligibility for Medicaid, nine are in the southern census region, and two others border that region. Ongoing debate over the merits of Medicaid expansion in these states has focused, in part, on whether the safety net provides sufficient access for uninsured low-income Americans. We analyzed longitudinal survey and vital status data from the twelve-state Southern Community Cohort Study (SCCS) for 15,356 nonelderly adult participants with low incomes, 86 percent of whom were enrolled at community health centers. In difference-in-differences analyses, we compared changes in self-reported health between participants in four expansion and eight nonexpansion states before (2008-13) and after (2015-17) Medicaid expansion. We found that a higher proportion of SCCS participants in expansion states reported increases in Medicaid coverage (a differential change of 7.6 percentage points), a lower proportion experienced a health status decline (-1.8 percentage points), and a higher proportion maintained their baseline health status (1.4 percentage points). The magnitude of estimated reductions in health declines would meaningfully affect a nonexpansion state's health ranking in our sample if that state elected to expand Medicaid. Our results suggest that for low-income adults in the South, Medicaid expansion yielded health benefits-even for those with established access to safety-net care.
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Registered trials
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.