Overturning the ACA's Medicaid Expansion Would Likely Decrease Low-Income, Reproductive-Age Women's Healthcare Spending and Utilization.
Overturning the ACA's Medicaid Expansion Would Likely Decrease Low-Income, Reproductive-Age Women's Healthcare Spending and Utilization.
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DOI：
10.1177/0046958020981462
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发表时间：
2020-01
期刊：
影响因子：
--
通讯作者：
Huskamp HA
中科院分区：
文献类型：
--
作者：
Chen L;Frank RG;Huskamp HA
2020年底，最高法院开始审理一起质疑《平价医疗法案》（ACA）的案件，该法案使许多低收入的育龄妇女获得了医保覆盖。为了探讨全面废除ACA对这一人群的潜在影响，我们研究了医疗补助扩张后的收益，假设这种收益可能会逆转。使用2013年至2014年医疗支出小组调查（Medical Expenditure Panel Survey）对1190名年龄在18岁至44岁、家庭收入低于联邦贫困水平138%的女性的限制性数据，我们采用差异中差异设计，比较了扩张州和非扩张州女性在医疗支出和医疗利用方面的变化。我们发现，如果医疗补助扩张被推翻，医疗补助覆盖范围可能会减少，医疗补助支出和处方药使用也可能会减少。
In late 2020, the Supreme Court began hearing a case challenging the Affordable Care Act (ACA), which led to coverage gains for many low-income, reproductive-age women. To explore potential implications of a full ACA repeal for this population, we examined gains experienced after Medicaid expansion, assuming that such gains may be reversed. Using restricted 2013 to 2014 data from the Medical Expenditure Panel Survey for 1190 women ages 18 to 44 with household incomes below 138% of the federal poverty level, we compared the change in healthcare spending and utilization for women living in expansion states to the change in non-expansion states using a difference-in-differences design. We found that if Medicaid expansion were overturned, Medicaid coverage is likely to decrease, as well as Medicaid spending and prescription drug utilization.
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