Medicaid Expansion and ACA Repeal: Evidence From Ohio

To examine the health insurance coverage options for Medicaid expansion enrollees if the Affordable Care Act (ACA) is repealed, using evidence from Ohio, where more than half a million adults have enrolled in the state's Medicaid program through the ACA expansion. The Ohio Medicaid Assessment S...

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Bibliographic Details
Published in:American journal of public health (1971) 2017-06, Vol.107 (6), p.889-892
Main Authors: Seiber, Eric E, Berman, Micah L
Format: Article
Language:English
Subjects:
Adults
AJPH Policy
Demographics
Education
Employers
Enrollments
Expansion
Families & family life
Family Characteristics
Government programs
Health care
Health care industry
Health care policy
Health Care Reform
Health insurance
Health Policy
Health Reform
Health services
Households
Humans
Indigent care
Insurance
Insurance coverage
Insurance Coverage - statistics & numerical data
Insurance, Health - statistics & numerical data
Low income groups
Medicaid
Medicaid - organization & administration
Medicaid - statistics & numerical data
Ohio
Patient Protection & Affordable Care Act 2010-US
Patient Protection and Affordable Care Act - organization & administration
Political campaigns
Polls & surveys
Poverty
Public assistance programs
Public health
Response rates
States
Uninsured people
United States
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Description
Summary:To examine the health insurance coverage options for Medicaid expansion enrollees if the Affordable Care Act (ACA) is repealed, using evidence from Ohio, where more than half a million adults have enrolled in the state's Medicaid program through the ACA expansion. The Ohio Medicaid Assessment Survey interviewed 42 000 households in 2015. We report data from a unique battery of questions designed to identify insurance coverage immediately prior to Medicaid enrollment. Ninety-five percent of new Medicaid enrollees in Ohio did not have a private health insurance option immediately before enrollment. These new enrollees are predominantly older, low-income Whites with a high school education or less. Only 5% of new Medicaid enrollees were eligible for an employer-sponsored insurance plan to which they could potentially return in the case of repeal of the ACA. The vast majority of Medicaid expansion enrollees would have no plausible pathway to obtaining private-sector insurance if the ACA were repealed. Demographic similarities between the expansion population and 2016 exit polls suggest that coverage losses would fall disproportionately on members of the winning Republican coalition.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2017.303722