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Social and Behavioral Sciences Commons

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University of Kentucky

Public Affairs, Public Policy and Public Administration

ACA

Theses/Dissertations

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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 Jan 2022

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 Jan 2020

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 …