The ACA Medicaid Expansion in Michigan and Financial Health

• 成果类型: Article
• 署名作者: Miller, Sarah; Hu, Luojia; Kaestner, Robert; Mazumder, Bhashkar; Wong, Ashley
• 署名单位: University of Michigan System; University of Michigan; Federal Reserve System - USA; Federal Reserve Bank - Chicago; University of Chicago; Northwestern University
• 刊物名称: JOURNAL OF POLICY ANALYSIS AND MANAGEMENT
• ISSN/ISSBN: 1520-7179
• DOI: 10.1002/pam.22266
• 发表日期: 2021
• 页码: 348-+
• 关键词: affordable care act; 1st 2 years; insurance coverage; access

摘要

This article examines how the financial health changes following an individual's enrollment in Michigan's Medicaid program (Healthy Michigan Program, HMP). We use unique data that link credit reports of HMP enrollees to Medicaid administrative data on enrollment and use of healthcare services. We find that Medicaid enrollment is associated with large improvements in several measures of financial health, including reductions in unpaid bills, medical bills, over limit credit card spending, and public records (such as evictions, judgments, and bankruptcies). These improvements are apparent across several subgroups, although individuals with greater medical need, such as those with chronic illnesses, experience the largest benefits.