California's Early ACA Expansion Increased Coverage And Reduced Out-Of-Pocket Spending For The State's Low-Income Population
California's Early ACA Expansion Increased Coverage And Reduced Out-Of-Pocket Spending For The State's Low-Income Population
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DOI：
10.1377/hlthaff.2015.0290
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发表时间：
2015-10-01
期刊：
影响因子：
9.7
通讯作者：
Sommers, Benjamin D.
中科院分区：
文献类型：
--
作者：
Golberstein, Ezra;Gonzales, Gilbert;Sommers, Benjamin D.
平价医疗法案（ACA）将医疗补助的资格扩大到数百万低收入成年人。虽然许多扩张的州在2014年实施了扩张，但五个州和哥伦比亚特区早在2010年就利用ACA和医疗补助豁免的规定扩大了资格。我们使用来自全国健康访谈调查的限制性数据来检查加州低收入健康计划的影响，该计划是2011年开始的早期扩展计划。我们的研究表明，在加州，每个县都扩大了公共保险覆盖范围，使覆盖率显著提高了7个百分点，并使低收入成年人在前一年的任何家庭自付医疗支出的可能性显著降低了10个百分点。
The Affordable Care Act (ACA) expanded eligibility for Medicaid to millions of low-income adults. While many expanding states implemented their expansion in 2014, five states and the District of Columbia expanded eligibility as early as 2010 by taking advantage of provisions in the ACA and Medicaid waivers. We used restricted data from the National Health Interview Survey to examine the impact of California's Low Income Health Program, an early expansion program that began in 2011. Our study demonstrates that the county-by-county rollout of expanded public insurance coverage in California significantly increased coverage, by 7 percentage points, and significantly reduced the likelihood of any family out-of-pocket medical spending in the previous year, by 10 percentage points, among low-income adults.