Closing Kynect and Restructuring Medicaid Threaten Kentucky's Health and Economy.
Following passage of the Patient Protection and Affordable Care Act (ACA) in the United States, the Kentucky Health Benefit Exchange, Kynect, began operating in Kentucky in October 2013. Kentucky expanded Medicaid eligibility in January 2014. Together, Kynect and Medicaid expansion provided access t...
| Publicado en: | Journal of Health Politics, Policy & Law Vol. 42; no. 4; pp. 719 - 738 |
|---|---|
| Autores principales: | , |
| Formato: | Artículo |
| Publicado: |
Duke University Press
Aug2017
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=124339365&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 124339365 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 03616878 HPP jtl: Journal of Health Politics, Policy & Law issn: 03616878 maglogo: N pubinfo: dt: Aug2017 vid: 42 iid: 4 pid: 154 pub: Duke University Press artinfo: ui: 124339365 10.1215/03616878-3856163 ppf: 719 ppct: 19 formats: tig: atl: Closing Kynect and Restructuring Medicaid Threaten Kentucky's Health and Economy. aug: au: Wright, Charles B. Vanderford, Nathan L. affil: University of Kentucky su: Kentucky Centers for Medicare & Medicaid Services (U.S.) Economic impact Medicaid Health care rationing Health services accessibility Health status indicators Medical care Health policy Practical politics Medically uninsured persons Eligibility (Social aspects) Health insurance exchanges sug: subj: Economic impact Medicaid Health care rationing Health services accessibility Health status indicators Medical care Health policy Practical politics Kentucky Centers for Medicare & Medicaid Services (U.S.) Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Administration of Public Health Programs Medically uninsured persons Eligibility (Social aspects) Health insurance exchanges keyword: evidence-based policy health care reform implementation public health insurance United States evidence-based policy health care reform implementation public health insurance United States ab: Following passage of the Patient Protection and Affordable Care Act (ACA) in the United States, the Kentucky Health Benefit Exchange, Kynect, began operating in Kentucky in October 2013. Kentucky expanded Medicaid eligibility in January 2014. Together, Kynect and Medicaid expansion provided access to affordable health care coverage to hundreds of thousands of individuals in Kentucky. However, following the Kentucky gubernatorial election in 2015, the newly inaugurated governor moved to dismantle Kynect and restructure the Medicaid expansion, jeopardizing public health gains and the state economy. As the first state to announce both the closure and restructuring of a state health insurance marketplace and Medicaid expansion, Kentucky may serve as a test case for the rest of the nation for reversal of ACA-related health policies. This article describes Kynect and the Kentucky Medicaid expansion and examines the potential short-term and long-term impacts that may occur following changes in state health policy. Furthermore, this article will offer potential strategies to ameliorate the expected negative impacts of disruption of both Kynect and the Medicaid expansion, such as the creation of a new state insurance marketplace under a new governor, the implementation of a private option, and increasing the state minimum wage for workers. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|