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

@article{Halliday2019TheIO,
  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},
  year={2019}
}
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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References

SHOWING 1-10 OF 42 REFERENCES
The Effect of Disenrollment from Medicaid on Employment, Insurance Coverage, Health and Health Care Utilization
TLDR
The Tennessee experience suggests that undoing the expansion of Medicaid eligibility to adults that occurred under the Affordable Care Act likely would reduce health insurance coverage, reduce health care access, and worsen health but would not lead to increases in employment. Expand
Premium Subsidies, the Mandate, and Medicaid Expansion: Coverage Effects of the Affordable Care Act
TLDR
It is found that coverage was moderately responsive to price subsidies, with larger gains in state-based insurance exchanges than the federal exchange and among previously-eligible populations even in non-expansion states. Expand
Effect of US health policies on health care access for Marshallese migrants.
TLDR
When the COFA was signed, COFA migrants were eligible for Medicaid and other safety net programs, however, these migrants were excluded from benefits as a consequence of the Personal Responsibility and Work Opportunity Reconciliation Act. Expand
Medicaid Disenrollment and Disparities in Access to Care: Evidence from Tennessee
TLDR
Evidence suggests that Medicaid disenrollment resulted in significant decreases in health insurance and increases in cost-related barriers to care for low-income adults living in Tennessee. Expand
Effects of Losing Public Health Insurance on Healthcare Access, Utilization and Health Outcomes: Evidence from the TennCare Disenrollment
An extensive literature in economics has studied the effects of gaining public health insurance eligibility on health outcomes. In contrast, not much is known of the effects of losing public healthExpand
Free for All?: Lessons from the RAND Health Insurance Experiment
In the most important health insurance study ever conducted researchers at the RAND Corporation devised all experiment to address two key questions in health care financing: how much more medicalExpand
The Use of Administrative Records and the American Community Survey to Study the Characteristics of Undercounted Young Children in the 2010 Census
Children under age five are historically one of the most difficult segments of the population to enumerate in the U.S. decennial census. The persistent undercount of young children is highest amongExpand
Health insurance and the demand for medical care: evidence from a randomized experiment.
TLDR
This work estimates how cost sharing, the portion of the bill the patient pays, affects the demand for medical services and rejects the hypothesis that less favorable coverage of outpatient services increases total expenditure. Expand
Health insurance coverage and take-up: lessons from behavioral economics.
TLDR
It is concluded that the success of health insurance coverage reform depends crucially on understanding the behavioral barriers to take-up, and public resources can likely be used much more effectively with behaviorally informed policy design. Expand
The Effect of Patient Cost Sharing on Utilization, Health, and Risk Protection
This paper exploits a sharp reduction in patient cost sharing at age 70 in Japan, using a regression discontinuity design to examine its effect on utilization, health, and financial risk arising fromExpand
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