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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results1 to 5 of 5 Research Studies Displayed
Harrison KL, Taylor HA
Healthcare resource allocation decisions affecting uninsured services.
The authors described resource allocation and policy decisions related to providing health services for the uninsured. They recommend that how healthcare decisions are actually made can be matched with literature that describes how healthcare resource decisions ought to be made, in order to provide a normative grounding for future decisions.
Citation: Harrison KL, Taylor HA . Healthcare resource allocation decisions affecting uninsured services. J Health Organ Manag 2016 Nov 21;30(8):1162-82. doi: 10.1108/jhom-01-2016-0003.
Keywords: Decision Making, Health Services Research (HSR), Policy, Uninsured
Vistnes JP, Cohen JW
AHRQ Author: Vistnes JP, Cohen JW
Gaining coverage in 2014: new estimates of marketplace and Medicaid transitions.
The researchers used data from the Medical Expenditure Panel Survey-Household Component to examine coverage transitions for nonelderly US adults. They found that 71.5 percent of Marketplace enrollees in 2014 had some period of uninsurance before enrollment. In Medicaid expansion states, 17.4 percent of adults who were uninsured throughout 2013 gained Medicaid coverage in 2014, compared with only 5.6 percent in those states between 2012 and 2013.
Citation: Vistnes JP, Cohen JW . Gaining coverage in 2014: new estimates of marketplace and Medicaid transitions. Health Aff 2016 Oct 1;35(10):1825-29. doi: 10.1377/hlthaff.2016.0500.
Keywords: Medical Expenditure Panel Survey (MEPS), Health Insurance, Medicaid, Uninsured, Policy
Sommers BD, Gourevitch R, Maylone B
Insurance churning rates for low-income adults under health reform: lower than expected but still harmful for many.
The researchers explored the frequency and implications of changes in insurance coverage over time (i.e., "churning,")through surveying low-income adults in Kentucky, which used a traditional expansion of Medicaid; Arkansas, which chose a "private option" expansion that enrolled beneficiaries in private Marketplace plans; and Texas, which opted not to expand. They found that churning was associated with disruptions in physician care and medication adherence, and increased emergency department use.
Citation: Sommers BD, Gourevitch R, Maylone B . Insurance churning rates for low-income adults under health reform: lower than expected but still harmful for many. Health Aff 2016 Oct;35(10):1816-24. doi: 10.1377/hlthaff.2016.0455.
Keywords: Medicaid, Uninsured, Policy, Health Insurance
Sommers BD, Chua KP, Kenney GM
California's early coverage expansion under the Affordable Care Act: a county-level analysis.
The researchers assessed the coverage effects of California's 2011 Low-Income Health Program (LIHP), enacted as an "early expansion" under the Affordable Care Act (ACA), and to demonstrate the feasibility of using Census data to measure county-level coverage changes. They concluded that California's 2011 expansion produced significant increases in public coverage for low-income individuals, particularly Latinos.
Citation: Sommers BD, Chua KP, Kenney GM . California's early coverage expansion under the Affordable Care Act: a county-level analysis. Health Serv Res 2016 Jun;51(3):825-45. doi: 10.1111/1475-6773.12397.
Keywords: Medicaid, Uninsured, Policy, Health Insurance, Racial and Ethnic Minorities
Epstein AM, Sommers BD, Kuznetsov Y
Low-income residents in three states view Medicaid as equal to or better than private coverage, support expansion.
The authors explored what low-income Americans think about Medicaid. They found that nearly 80 percent of their telephone survey sample favored Medicaid expansion, and approximately two-thirds of uninsured respondents said that they planned to apply for either Medicaid or subsidized private coverage in 2014. Most viewed having Medicaid as better than being uninsured and at least as good as private insurance in overall quality and affordability.
Citation: Epstein AM, Sommers BD, Kuznetsov Y . Low-income residents in three states view Medicaid as equal to or better than private coverage, support expansion. Health Aff 2014 Nov;33(11):2041-7. doi: 10.1377/hlthaff.2014.0747.
Keywords: Health Insurance, Policy, Low-Income, Medicaid, Uninsured