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Full-Text Articles in Social and Behavioral Sciences
Medicaid Expansion: The Choice Afforded To States By The Affordable Care Act, Robert M. Hatfield
Medicaid Expansion: The Choice Afforded To States By The Affordable Care Act, Robert M. Hatfield
MPA/MPP/MPFM Capstone Projects
The issue I studied is the decision states have been afforded to expand Medicaid with the Affordable Care Act (ACA). I was curious to determine the health and economic impact on states that have and have not chosen to expand Medicaid. Specifically, I targeted Kentucky (expansion state) and Tennessee (non-expansion state). Tennessee and Kentucky are similar populations, have similar political inclinations, and are both very rural states. At its core, Medicaid expansion is an opportunity to improve health for lower-income and disabled Americans. However, there are economic implications associated with Medicaid expansion as well. The goal of this research is …
The Affordable Care Act And Medication-Assisted Treatment Accessibility: A Context-Inclusive Review Of Research, Jacob Blevins
The Affordable Care Act And Medication-Assisted Treatment Accessibility: A Context-Inclusive Review Of Research, Jacob Blevins
MPA/MPP/MPFM Capstone Projects
This paper provides a contextual review of research investigating associations between the health insurance reforms implemented by the Affordable Care Act and the accessibility and utilization of medication-assisted treatment for opioid use disorder. Research indicates that relative to 2008, the year of initial Medicaid expansions in 2014 is nationally associated with increased rates of insurance coverage, increased rates of treatment, and reduced rates of individuals with opioid use disorder forgoing treatment due to financial concerns (McKenna 2017). Between the year prior to state Medicaid expansion and the third year after it, the number of specialty treatment admissions related to the …
Aca Implementation In The South: The Political Economy Of Full Participation In Kentucky, Glen P. Mays
Aca Implementation In The South: The Political Economy Of Full Participation In Kentucky, Glen P. Mays
Health Management and Policy Presentations
This analysis, conducted as part of the ACA Implementation Research Network, examines economic and political forces shaping Kentucky's early experience with implementation of the Patient Protection and Affordable Care Act.
The Dynamics Of Medicaid & Public Health Spending: Implications For Aca Implementation, Glen P. Mays
The Dynamics Of Medicaid & Public Health Spending: Implications For Aca Implementation, Glen P. Mays
Health Management and Policy Presentations
We estimate the dynamics and interactions of governmental spending on Medicaid and other public health services in all 50 states over a 15 year period. Using a quasi-experimental design with instrumental variables estimation, we find evidence that increased Medicaid spending leads to reduced governmental spending on other public health services, consistent with a crowd-out effect. Over 10 years, such crowd-out has the potential to diminish the health status improvements generated through health insurance coverage expansions.
Aca Implementation In Kentucky: Experiences Of An Expansion State, Glen P. Mays
Aca Implementation In Kentucky: Experiences Of An Expansion State, Glen P. Mays
Health Management and Policy Presentations
Kentucky's implementation of the Affordable Care Act has included early successes with insurance coverage expansion through Medicaid and a state-operated health insurance exchange. Signals of improvements in health care accessibility and delivery of preventive services are evident in the first year after coverage expansions. Challenges associated with political opposition, delivery system transformation, and public health financing remain on the state's policy agenda.