ArticleInternational journal for equity in health2021
Effects of medicaid expansion on poverty disparities in health insurance coverage.
Article in International journal for equity in health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Implementation of Health Insurance Navigation for Racial/Ethnic Minority Men Who Have Sex With Men Presenting for Community-Based HIV Testing.Journal of acquired immune deficiency syndromes (1999) · 2026Trial
- Nutrition Literacy Among Latina/x People During Pregnancy Is Associated With Socioeconomic Position.Journal of the Academy of Nutrition and Dietetics · 2022Trial
- Cancer-related financial toxicity among Latinas with breast cancer in a rural area of the United States: a qualitative study.BMC women's health · 2025Article
- The Effect of Persistent Poverty on Cancer Outcomes in California.Journal of registry management · 2025Article
- Article
- A machine learning approach to healthcare needs and barriers using the 100% Community Survey of access to SDOH services.Frontiers in public health · 2025Article
- Quality of life in a family-centric applied behavior analysis model: A case series study.PloS one · 2025Article
- Prevalence and characteristics for mental health disorder before and after childhood cancer diagnosis-a statewide population-based study among Medicaid beneficiaries.Frontiers in psychology · 2025Article
- Low income and education are associated with greater ASCVD risk scores among adults in the US.Preventive medicine reports · 2024Article
- Comparative impact of the affordable care act on breast cancer outcomes among women in two US states.Frontiers in oncology · 2024Article
- Health Care Access and Cardiovascular Risk Factor Management Among Working-Age US Adults During the Pandemic.Circulation. Cardiovascular quality and outcomes · 2023Article
- Perceptions of Barriers: An Examination of Public Health Practice in Kansas.International journal of environmental research and public health · 2022Article
- Starting the Conversation About Healthcare Disparities.HCA healthcare journal of medicine · 2022Article
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3 authors.
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Abstract
backgroundMore than 30 states have either expanded Medicaid or are actively considering expansion. The coverage gains from this policy are well documented, however, the impacts of its increasing coverage on poverty disparity are unclear at the national level.
methodAmerican Community Survey (2012-2018) was used to examine the effects of Medicaid expansion on poverty disparity in insurance coverage for nonelderly adults in the United States. Differences-in-differences-in-differences design was used to analyze trends in uninsured rates by poverty levels: (1) < 138 %, (2) 138-400 % and (3) > 400 % federal poverty level (FPL).
resultsCompared with uninsured rates in 2012, uninsured rates in 2018 decreased by 10.75 %, 6.42 %, and 1.11 % for < 138 %, 138-400 %, and > 400 % FPL, respectively. From 2012 to 2018, > 400 % FPL group continuously had the lowest uninsured rate and < 138 % FPL group had the highest uninsured rate. Compared with ≥ 138 % FPL groups, there was a 2.54 % reduction in uninsured risk after Medicaid expansion among < 138 % FPL group in Medicaid expansion states versus control states. After eliminating the impact of the ACA market exchange premium subsidy, 3.18 % decrease was estimated.
conclusionPoverty disparity in uninsured rates improved with Medicaid expansion. However, < 138 % FPL population are still at a higher risk for being uninsured.
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