Recent Changes in Health Insurance Coverage for Urban and Rural Veterans: Evidence from the First Year of the Affordable Care Act
Boudreaux M, Barath D, & Blewett LA. (2018). "Recent Changes in Health Insurance Coverage for Urban and Rural Veterans: Evidence from the First Year of the Affordable Care Act." Military Medicine 00. doi: 10.1093/milmed/usy053
This article provides an analysis of the impact of the Affordable Care Act (ACA) on health insurance coverage for veterans in states that chose to expand Medicaid and in non-expansion states as well as for urban and rural veterans using data from the 2013 and 2014 American Community Survey. The analysis found a substantial 24% relative decline in the rate of uninsurance for U.S. Veterans, from 9.3 to 7.1% between 2013 and 2014. Coverage gains in rural areas were due to gains in Medicaid and individual market coverage. Residence in a Medicaid expansion state was particularly influential for rural veterans, as the increase in the insured rate was three times larger in Medicaid expansion states versus non-expansion states.