Welfare reform and older immigrants' health insurance coverage.
OBJECTIVES: I examined changes in older immigrants' health insurance coverage after welfare reform in the United States to determine whether the reform measures achieved their goal of saving money by reducing Medicaid participation without increasing the number of uninsured people. METHODS: Data wer...
| Publicado en: | American Journal of Public Health Vol. 98; no. 11; pp. 2029 - 2035 |
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| Autor principal: | |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Public Health Association
Nov2008
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105575562&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105575562 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Nov2008 vid: 98 iid: 11 pid: 44 pub: American Public Health Association place: Washington, District of Columbia artinfo: ui: 105575562 35119070 2010102516 10.2105/AJPH.2007.120675 NLM18799779 105575562 ppf: 2029 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Welfare reform and older immigrants' health insurance coverage. aug: au: Nam Y affil: George Warren Brown School of Social Work, Washington University in St Louis, St Louis, MO 63130, USA; ynam@wustl.edu sug: subj: Eligibility Determination Immigrants Legislation and Jurisprudence Insurance, Health Trends Medicaid Legislation and Jurisprudence Public Assistance Legislation and Jurisprudence Aged Aged, 80 and Over Birth Place Citizenship Comparative Studies Cost Savings Descriptive Statistics Family Characteristics Female Funding Source Interviews Logistic Regression Male Medicaid Utilization Models, Statistical Multivariate Analysis Odds Ratio Pearson's Correlation Coefficient Prospective Studies United States Human Aged: 65+ years Aged, 80 & over Female Male ab: OBJECTIVES: I examined changes in older immigrants' health insurance coverage after welfare reform in the United States to determine whether the reform measures achieved their goal of saving money by reducing Medicaid participation without increasing the number of uninsured people. METHODS: Data were obtained from older adults who participated in the Current Population Survey's Annual Social and Economic Supplement from 1994 to 1996 and 2001 to 2005. I used logistic regression to estimate changes in the sample's Medicaid and health insurance coverage after welfare reform, paying special attention to noncitizens and recent immigrants. RESULTS: Older immigrants' health insurance status was associated with their citizenship status and length of stay in the United States. Medicaid participation significantly decreased among noncitizens and recent immigrants but increased among naturalized citizens. Private health insurance and employer-sponsored insurance coverage significantly increased among recent immigrants but decreased among established immigrants and naturalized citizens. The probability of being uninsured did not significantly change among any group of immigrants. CONCLUSIONS: Given increases in postreform Medicaid participation among some immigrant groups, my findings suggest that the long-term cost-saving effectiveness of the current restrictive Medicaid eligibility policy is doubtful. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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