Webinar Recording: Young Adult Coverage Expansion Policies - Further Analysis and New Questions
Dr. Joel Cantor, Director of the Center for State Health Policy at Rutgers University, addressed a range of questions from his SHARE-funded research evaluating state and federal young-adult dependent coverage expansion policies using the Current Population Survey (CPS) at an April 2ndSHARE webinar. Dr. Cantor was joined by Dr. Thomas Buchmueller, Professor of Risk Management and Insurance and Professor of Business Economics and Public Policy at the Ross School of Business at the University of Michigan, who discussed his findings from similar research using data from the National Health Interview Survey (NHIS) and the Survey of Income and Program Participation (SIPP). Access the webinar recording, presentation slides, and supporting materials.
Robert Wood Johnson Foundation Highlights SHARE Grant Results
The Robert Wood Johnson Foundation (RWJF) is highlighting project results from a number of grants awarded through theState Health Access Reform Evaluation (SHARE)initiative. SHARE supports rigorous research on health reform issues as a state level, with a focus on state-level implementation of the Affordable Care Act (ACA) and other efforts designed to increase coverage and access. The RWJF results reports for SHARE are as follows:
“Economic Impacts of Extending Health Care Coverage in Florida,”was prepared by researchers at the University of Florida for the Florida Hospital Association. The authors use anIMPLANregional economic model to estimate the economic impacts of expanding Medicaid in the state from 2013/2014 to 2022/2023. They estimate that Medicaid enrollment would more than double by 2022/2023, reaching roughly 1.1 million. The total cost of covering these new enrollees would be about $60.7 million, of which $51.3 million would be covered by federal funds. Increased federal expenditures during the 10-year period would generate approximately $145.36 billion in new revenue in the state, $89.65 billion in GDP, and $61.83 billion in labor income.
“Kentucky’s Economy Will Benefit from Expanding Medicaid,”was prepared by Families USA, Kentucky Voices for Health, and Kentucky Equal Justice Center, and uses a REMI macroeconomic model to simulate the impact of the ACA Medicaid expansion on Kentucky’s economy in 2016. The report estimates that an additional $1.3 billion in federal Medicaid funds would be spent in Kentucky in 2016 under the expansion. These funds would support approximately 14,700 new jobs and generate roughly $1.7 billion in new economic activity.
Health Needs and Access to Care for Uninsured Adults in New Jersey
The Rutgers University Center for State Health Policy released areporton the health needs and health care utilization of uninsured working-age adults (ages 19-54) in New Jersey based on results from the 2009 New Jersey Family Health Survey. The report stratifies findings on health needs and use by duration of uninsurance in the 12 months preceding the survey. The authors observe that access and health indicators were worse for those who reported being uninsured for the entire preceding year than for those with part-year uninsurance; however, these indicators were worse for both groups than for their counterparts who were insured the entire year.
Updated FAQs about MAGI Conversion
SHADAC has posted a new set of frequently asked questions (FAQs) about the conversion of state Medicaid income eligibility thresholds using the new Modified Adjusted Gross Income (MAGI) definition. The FAQs address both general questions about the Standardized MAGI Conversion Methodology and specific questions about applying the standardized methodology using state data.
State-by-State Medicaid and CHIP Eligibility Levels
Abrieffrom the Kaiser Commission on Medicaid and the Uninsured catalogs Medicaid and CHIP eligibility levels by state as of January 2013. Eligibility is specified for children, pregnant women, parents of dependent children, and other non-disabled adults in each state. The brief emphasizes that Medicaid eligibility for non-disabled adults without dependent children remains very limited overall, despite the ACA early expansion option.
State and National Estimates of Coverage Gains for Uninsured Veterans with Medicaid Expansion
Ananalysisprepared for the Robert Wood Johnson Foundation by researchers at the Urban Institute estimates the number of uninsured veterans, and uninsured spouses of veterans, who could receive Medicaid coverage in each state under the ACA Medicaid expansion. The report uses the 2008-2010 American Community Survey (ACS) to estimate that roughly four in 10 (or an estimated 535,000) uninsured veterans have incomes below 138 percent of the Federal Poverty Level (FPL) and could therefore be Medicaid-eligible if living in a state that expands Medicaid.
Most Hospitals Will See Financial Gain from ACA Medicaid Expansion: State and National Estimates
Areportfrom the Urban Institute estimates the financial impact of the ACA Medicaid expansion for hospitals at the national and state level from 2013 through 2022. The report projects that the Medicaid expansion will lead to a significant increase in Medicaid hospital revenue, estimating a $293.9 billion incremental increase (a 22.8 percent jump) in such revenues if all states opt to expand the program. This increased Medicaid revenue would greatly exceed the estimated loss of private payments due to crowd-out as well as the reduction in Medicaid Disproportionate Share Hospital (DSH) payments that will take place over the next ten years. (Click hereto read SHARE grantee John Graves’NEJMarticle about the impact of DSH reductions in states that do not expand Medicaid.)
The State Health Access Data Assistance Center (SHADAC) is a program of the Robert Wood Johnson Foundation and a part of the Health Policy and Management Division of the School of Public Health at the University of Minnesota.