The effect of medicaid expansion on access to healthcare, health behaviors and health outcomes between expansion and non-expansion states

Toni Romero and Branco Ponomariov

Evaluation and Program Planning, 2023, vol. 99, issue C

Abstract: In 1965, Medicaid was implemented with the goal of providing insurance to low-income individuals. In 2010, the Patient Protection Affordable Care Act (PPACA) standardized and expanded the eligibility criteria for the Medicaid program across the United States. In 2012, the constitutionality of this expansion was challenged and the Supreme Court rules that states were only required to expand their Medicaid program if they wanted to utilize the additional funds allotted by the federal government. This research paper examines the effects of the expansion by looking at health data in expansion and non-expansion states. Specifically, this study compares metrics designed to gauge healthcare access, health behaviors and health outcomes to determine if expansion has had positive overall effect on expansion states. We conclude that expansion states have demonstrated improved access to healthcare and improved health outcomes than the non-expansion states. Changes in health behaviors reflect mixed results – HIV screenings are higher in expansion states but participation in flu vaccinations show no statistical significance difference between the two groups. Given the results of this analysis, we conclude that Medicaid expansion is an effective policy for states to pursue in order to further the original objectives of Medicaid by improving the health of low-income recipients.

Keywords: Patient protection affordable care act; Medicaid expansion; Health policy; Health utilization; Health behaviors; Access to healthcare; Health outcomes (search for similar items in EconPapers)
Date: 2023
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

Downloads: (external link)
http://www.sciencedirect.com/science/article/pii/S0149718923000812
Full text for ScienceDirect subscribers only

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:eee:epplan:v:99:y:2023:i:c:s0149718923000812

DOI: 10.1016/j.evalprogplan.2023.102304

Access Statistics for this article

Evaluation and Program Planning is currently edited by Jonathan A. Morell

More articles in Evaluation and Program Planning from Elsevier
Bibliographic data for series maintained by Catherine Liu ().