Levels of Employment and Community Engagement among Low-Income Adults: Implications for Medicaid Work Requirements.
Context: Twenty states are pursuing community engagement requirements ("work requirements") in Medicaid, though legal challenges are ongoing. While most nondisabled low-income individuals work, it is less clear how many engage in the required number of hours of qualifying community engagement activi...
| Publicado en: | Journal of Health Politics, Policy & Law Vol. 45; no. 6; pp. 1059 - 1083 |
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| Autores principales: | , , , |
| Formato: | Artículo |
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Duke University Press
Dec2020
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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=ssf&AN=147133035&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 147133035 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: Dec2020 vid: 45 iid: 6 pid: 154 pub: Duke University Press artinfo: ui: 147133035 10.1215/03616878-8641567 ppf: 1059 ppct: 24 formats: tig: atl: Levels of Employment and Community Engagement among Low-Income Adults: Implications for Medicaid Work Requirements. aug: au: Soni, Aparna Cong Gian Simon, Kosali Sommers, Benjamin D. affil: American University Indiana University Harvard University su: United States Communities Employment Insurance Job descriptions Medicaid Poverty Social participation Educational attainment Adults Confidence intervals Services for caregivers Multivariate analysis Risk assessment Descriptive statistics Odds ratio sug: subj: Communities Employment Insurance Job descriptions Medicaid Poverty Social participation Educational attainment Adults United States All Other Insurance Related Activities Third Party Administration of Insurance and Pension Funds Other Insurance Funds Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Confidence intervals Services for caregivers Multivariate analysis Risk assessment Descriptive statistics Odds ratio keyword: employment Medicaid work requirements time use employment Medicaid work requirements time use ab: Context: Twenty states are pursuing community engagement requirements ("work requirements") in Medicaid, though legal challenges are ongoing. While most nondisabled low-income individuals work, it is less clear how many engage in the required number of hours of qualifying community engagement activities and what heterogeneity may exist by race/ethnicity, age, and gender. The authors' objective was to estimate current levels of employment and other community engagement activities among potential Medicaid beneficiaries. Methods: The authors analyzed the US Census Bureau's national time-use survey data for the years 2015 through 2018. Their main sample consisted of nondisabled adults between 19 and 64 years with family incomes less than 138% of the federal poverty level (N = 2,551). Findings: Nationally, low-income adults who might become subject to Medicaid work requirements already spent an average of 30 hours per week on community engagement activities. However, 22% of the low-income population--particularly women, older adults, and those with less education--would not currently satisfy a 20-hour-per-week requirement. Conclusions: Although the majority of potential Medicaid beneficiaries already meet community engagement requirements or are exempt, 22% would not currently satisfy a 20-hour-perweek requirement and therefore could be at risk for losing coverage. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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