Medicaid Versus Marketplace Coverage For Near-Poor Adults: Effects On Out-Of-Pocket Spending And Coverage.

Item request has been placed! ×
Item request cannot be made. ×
  Processing Request
  • Additional Information
    • Subject Terms:
    • NAICS/Industry Codes:
      923130 Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs)
    • Abstract:
      In states that expanded Medicaid eligibility under the Affordable Care Act, nonelderly near-poor adults--those with family incomes of 100-138 percent of the federal poverty level--are generally eligible for Medicaid, with no premiums and minimal cost sharing. In states that did not expand eligibility, these adults may qualify for premium tax credits to purchase Marketplace plans that have out-of-pocket premiums and cost-sharing requirements. We used data for 2010-15 to estimate the effects of Medicaid expansion on coverage and out-of-pocket expenses, compared to the effects of Marketplace coverage. For adults with family incomes of 100-138 percent of poverty, living in a Medicaid expansion state was associated with a 4.5-percentage-point reduction in the probability of being uninsured, a $344 decline in average total out-of-pocket spending, a 4.1-percentage-point decline in high out-of-pocket spending burden (that is, spending more than 10 percent of income), and a 7.7-percentage-point decline in the probability of having any out-of-pocket spending relative to living in a nonexpansion state. These findings suggest that policies that substitute Marketplace for Medicaid eligibility could lower coverage rates and increase out-of-pocket expenses for enrollees. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Health Affairs is the property of Project HOPE/HEALTH AFFAIRS and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Senior research associate at the Health Policy Center at the Urban Institute, in Washington, D.C.
      2Research associate at the Health Policy Center at the Urban Institute
      3Senior fellow at and codirector of the Health Policy Center at the Urban Institute
      4Associate professor of health policy and economics, Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, in Boston, Massachusetts
    • ISSN:
      0278-2715
    • Accession Number:
      10.1377/hlthaff.2017.1166
    • Accession Number:
      128049995
  • Citations
    • ABNT:
      BLAVIN, F. et al. Medicaid Versus Marketplace Coverage For Near-Poor Adults: Effects On Out-Of-Pocket Spending And Coverage. Health Affairs, [s. l.], v. 37, n. 2, p. 299–307, 2018. Disponível em: . Acesso em: 21 nov. 2019.
    • AMA:
      Blavin F, Karpman M, Kenney GM, Sommers BD. Medicaid Versus Marketplace Coverage For Near-Poor Adults: Effects On Out-Of-Pocket Spending And Coverage. Health Affairs. 2018;37(2):299-307. doi:10.1377/hlthaff.2017.1166.
    • APA:
      Blavin, F., Karpman, M., Kenney, G. M., & Sommers, B. D. (2018). Medicaid Versus Marketplace Coverage For Near-Poor Adults: Effects On Out-Of-Pocket Spending And Coverage. Health Affairs, 37(2), 299–307. https://doi.org/10.1377/hlthaff.2017.1166
    • Chicago/Turabian: Author-Date:
      Blavin, Fredric, Michael Karpman, Genevieve M. Kenney, and Benjamin D. Sommers. 2018. “Medicaid Versus Marketplace Coverage For Near-Poor Adults: Effects On Out-Of-Pocket Spending And Coverage.” Health Affairs 37 (2): 299–307. doi:10.1377/hlthaff.2017.1166.
    • Harvard:
      Blavin, F. et al. (2018) ‘Medicaid Versus Marketplace Coverage For Near-Poor Adults: Effects On Out-Of-Pocket Spending And Coverage’, Health Affairs, 37(2), pp. 299–307. doi: 10.1377/hlthaff.2017.1166.
    • Harvard: Australian:
      Blavin, F, Karpman, M, Kenney, GM & Sommers, BD 2018, ‘Medicaid Versus Marketplace Coverage For Near-Poor Adults: Effects On Out-Of-Pocket Spending And Coverage’, Health Affairs, vol. 37, no. 2, pp. 299–307, viewed 21 November 2019, .
    • MLA:
      Blavin, Fredric, et al. “Medicaid Versus Marketplace Coverage For Near-Poor Adults: Effects On Out-Of-Pocket Spending And Coverage.” Health Affairs, vol. 37, no. 2, Feb. 2018, pp. 299–307. EBSCOhost, doi:10.1377/hlthaff.2017.1166.
    • Chicago/Turabian: Humanities:
      Blavin, Fredric, Michael Karpman, Genevieve M. Kenney, and Benjamin D. Sommers. “Medicaid Versus Marketplace Coverage For Near-Poor Adults: Effects On Out-Of-Pocket Spending And Coverage.” Health Affairs 37, no. 2 (February 2018): 299–307. doi:10.1377/hlthaff.2017.1166.
    • Vancouver/ICMJE:
      Blavin F, Karpman M, Kenney GM, Sommers BD. Medicaid Versus Marketplace Coverage For Near-Poor Adults: Effects On Out-Of-Pocket Spending And Coverage. Health Affairs [Internet]. 2018 Feb [cited 2019 Nov 21];37(2):299–307. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=128049995&custid=s8280428