TY  - CHAP
AB  - Abstract This study examines the effect of a Medicaid disenrollment on employment, sources of health insurance coverage, and health and health care utilization of childless adults using longitudinal data from the 2004 Panel of the Survey of Income and Program Participation. From July to September 2005, TennCare, the Tennessee Medicaid program, disenrolled approximately 170,000 adults following a change in eligibility rules. Following this eligibility change, the fraction of adults in Tennessee covered by Medicaid fell by over 5 percentage points while uninsured rates increased by almost 5 percentage points relative to adults in other Southern states. There is no evidence of an increase in employment rates in Tennessee following the disenrollment. Self-reported health and access to medical care worsened as hospitalization rates, doctor visits, and dentist visits all declined while the use of free or public clinics increased. The Tennessee experience suggests that undoing the expansion of Medicaid eligibility to adults that occurred under the Affordable Care Act likely would reduce health insurance coverage, reduce health care access, and worsen health but would not lead to increases in employment.
VL  - 47
SN  - 978-1-78973-861-2, 978-1-78973-862-9/0147-9121
DO  - 10.1108/S0147-912120190000047006
UR  - https://doi.org/10.1108/S0147-912120190000047006
AU  - DeLeire Thomas
PY  - 2019
Y1  - 2019/01/01
TI  - The Effect of Disenrollment from Medicaid on Employment, Insurance Coverage, and Health and Health Care Utilization☆
T2  - Health and Labor Markets
T3  - Research in Labor Economics
PB  - Emerald Publishing Limited
SP  - 155
EP  - 194
Y2  - 2024/05/04
ER  -