The Impact of Medicaid on Medical Utilization in a Vulnerable Population: Evidence from Cofa Migrants

  title={The Impact of Medicaid on Medical Utilization in a Vulnerable Population: Evidence from Cofa Migrants},
  author={Timothy J Halliday and Randall K. Q. Akee and T. Sentell and M. Inada and J. Miyamura},
  journal={Labor: Demographics \& Economics of the Family eJournal},
In March 2015, the State of Hawaii stopped covering the vast majority of migrants from countries belonging to the Compact of Free Association (COFA) in the state Medicaid program. COFA migrants were instead required to obtain private insurance in the exchanges established under the Affordable Care Act. Using statewide administrative hospital discharge data, we show that Medicaid-funded hospitalizations and emergency room visits declined in this population by 69% and 42% after the expiration of… Expand
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