학술논문
The Effect of Medicaid Eligibility on Utilization of Services and Access to Care among Health Center Patients: A Regression Discontinuity Design.
Document Type
Article
Author
Source
Subject
*MEDICAL quality control
*HEALTH policy
*HEALTH services administrators
*HEALTH services accessibility
*HEALTH facility administration
*COMMUNITY health services
*REGRESSION analysis
*MEDICAL care use
*INCOME
*SOCIOECONOMIC factors
*SURVEYS
*PREVENTIVE health services
*ELIGIBILITY (Social aspects)
*DESCRIPTIVE statistics
*RESEARCH funding
*POVERTY
*DATA analysis software
*INSURANCE
MEDICAID statistics
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Language
ISSN
0966-0410
Abstract
The United States' Affordable Care Act (ACA) aims to improve access to and quality of care for low-income patients. To do so, it expands Medicaid eligibility from individuals under 100% of the federal poverty level (FPL) to include those under 138% of the FPL. Based on the 2014 Health Center Patient Survey (a nationally representative survey sponsored by the Health Resources and Services Administration (HRSA) (n = 4,380)), this study examined the effects of the Medicaid eligibility on having a usual source of care and the utilization of preventive services among health center patients. A regression discontinuity approach was used to identify the causative impact of Medicaid enrollment on low-income and nonelderly health center patients. Our findings suggest that Medicaid enrollment led to a substantial increase in the probability of both undergoing a routine checkup and having had a fecal occult blood test within the past year. These results indicate that changes to Medicaid policy have the potential to affect vulnerable populations. The evidence we provide supports the importance of maintaining the ACA due to its expanded Medicaid funding. [ABSTRACT FROM AUTHOR]