The impact of medicaid on medical utilization in a vulnerable population : evidence from COFA migrants / Timothy J. Halliday (University of Hawaii at Manoa, UHERO and IZA), Randall Q. Akee (Brookings Institution, UCLA, IZA and NBER), Tetine Sentell (University of Hawaii at Manoa), Megan Inada (Kokua Kalihi Valley Comprehensive Family Services), Jill Miyamura (Hawaii Health Information Corporation) ; IZA Institute of Labor Economics
VerfasserHalliday, Timothy ; Akee, Randall ; Sentell, Tetine ; Baert, Stijn ; Miyamura, Jill
KörperschaftForschungsinstitut zur Zukunft der Arbeit
ErschienenBonn, Germany : IZA Institute of Labor Economics, November 2019
Elektronische Ressource
Umfang1 Online-Ressource (42 Seiten) : Diagramme
SerieDiscussion paper ; no. 12779
 Das Dokument ist öffentlich zugänglich im Rahmen des deutschen Urheberrechts.
The impact of medicaid on medical utilization in a vulnerable population [0.87 mb]
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In March 2015, the State of Hawaii stopped covering the majority of migrants from countries belonging to the Compact of Free Association (COFA) in its Medicaid program. COFA migrants were required to obtain private insurance in the exchanges established under the Affordable Care Act. Using statewide hospital discharge data, we show that Medicaid-funded hospitalizations and emergency room visits declined in this population by 31% and 19%. Utilization funded by private insurance did increase, but not enough to offset the declines in Medicaid-funded utilization. Finally, the expiration of benefits increased uninsured ER visits.