Issues In Health Reform: How Changes In Eligibility May Move Millions Back And Forth Between Medicaid And Insurance Exchanges.
The Affordable Care Act will extend health insurance coverage by both expanding Medicaid eligibility and offering premium subsidies for the purchase of private health insurance through state health insurance exchanges. But by definition, eligibility for these programs is sensitive to income and can...
| Publicado en: | Health Affairs Vol. 30; no. 2; pp. 228 - 237 |
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| Autores principales: | , |
| Formato: | Journal Article |
| Publicado: |
Health Affairs Publishing, LLC
Feb2011
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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=59314716&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 59314716 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02782715 HAF jtl: Health Affairs issn: 02782715 maglogo: N pubinfo: dt: Feb2011 vid: 30 iid: 2 pid: 1453 pub: Health Affairs Publishing, LLC place: Washington, District of Columbia artinfo: ui: 59314716 104856288 10.1377/hlthaff.2010.1000 59314716 ppf: 228 ppct: 9 formats: tig: atl: Issues In Health Reform: How Changes In Eligibility May Move Millions Back And Forth Between Medicaid And Insurance Exchanges. aug: au: Sommers, Benjamin D. Rosenbaum, Sara affil: Harvard School of Public Health, Boston, Massachusetts sug: subj: Medically Uninsured Eligibility Determination Standards Health Care Reform Legislation and Jurisprudence Medicaid Insurance, Health Economics United States Human Income Time Factors Family Characteristics Poverty Standards Continuity of Patient Care Transitional Programs Certification Methods Prospective Studies United States Census United States Descriptive Statistics Adult Middle Age Probability Confidence Intervals Cox Proportional Hazards Model Adult: 19-44 years Middle Aged: 45-64 years ab: The Affordable Care Act will extend health insurance coverage by both expanding Medicaid eligibility and offering premium subsidies for the purchase of private health insurance through state health insurance exchanges. But by definition, eligibility for these programs is sensitive to income and can change over time with fluctuating income and changes in family composition. The law specifies no minimum enrollment period, and subsidy levels will also change as income rises and falls. Using national survey data, we estimate that within six months, more than 35 percent of all adults with family incomes below 200 percent of the federal poverty level will experience a shift in eligibility from Medicaid to an insurance exchange, or the reverse; within a year, 50 percent, or 28 million, will. To minimize the effect on continuity and quality of care, states and the federal government should adopt strategies to reduce the frequency of coverage transitions and to mitigate the disruptions caused by those transitions. Options include establishing a minimum guaranteed eligibility period and "dually certifying" some plans to serve both Medicaid and exchange enrollees. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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