Medicaid 'Unwinding:' Much Of The Reduction In Medicaid-Paid Prescriptions Was Offset By Increased Commercial Coverage.

With the expiration of the Medicaid continuous coverage condition on March 31, 2023, states began returning to regular eligibility renewals in Medicaid and the Children's Health Insurance Program (CHIP). Because of incompleteness of administrative data and lags in the availability of survey data, th...

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Publicado en:Health Affairs Vol. 44; no. 5; pp. 523 - 531
Autores principales: Volkov, Eden, Eloso, Jessica, Bosworth, Arielle, Finegold, Kenneth, Buchmueller, Thomas C.
Formato: research tables/charts Journal Article
Publicado: Health Affairs Publishing, LLC May2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Medicaid 'Unwinding:' Much Of The Reduction In Medicaid-Paid Prescriptions Was Offset By Increased Commercial Coverage.
      aug:
        au:
          Volkov, Eden
          Eloso, Jessica
          Bosworth, Arielle
          Finegold, Kenneth
          Buchmueller, Thomas C.
        affil: University of Michigan, Ann Arbor, Michigan, and Brookings Institution, Washington, D.C.
      sug:
        subj:
          Medicaid
          Insurance Coverage
          Drugs, Prescription Economics
          Insurance, Pharmaceutical Services Economics
          Prescriptions, Drug Economics
          Human
          Health Services Accessibility
          Child Health Services Economics
          Insurance, Health
          Insurance, Health, Reimbursement
          Eligibility Determination
          Health Resource Utilization
          Health Resource Allocation
          Public Health
          Viral Vaccines Administration and Dosage
          Geographic Factors
          Unemployment
          United States Centers for Medicare and Medicaid Services
          Poisson Distribution
          Prescribing Patterns
          Socioeconomic Factors
          Drugs, Prescription Supply and Distribution
          Health Insurance Exchanges
          Health Expenditures
          Descriptive Statistics
          Data Analysis Software
      ab: With the expiration of the Medicaid continuous coverage condition on March 31, 2023, states began returning to regular eligibility renewals in Medicaid and the Children's Health Insurance Program (CHIP). Because of incompleteness of administrative data and lags in the availability of survey data, there is limited understanding of how this "unwinding" process has affected insurance coverage or access to care. Using data from IQVIA PayerTrak, a large, nationally representative, allpayer pharmacy transactions database, we examined the trends in prescription drug use during the unwinding period. Leveraging state variation in Medicaid coverage termination start dates, we found that although prescriptions paid for by Medicaid or CHIP fell during unwinding, this decline was mostly offset by an increase in commercialpaid prescriptions. Total prescriptions were unchanged, suggesting that the unwinding did not result in reduced access to medications.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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