Hall Jean P, Shartzer Adele, Kurth Noelle K, Thomas Kathleen C
Jean P. Hall is with the Department of Health Policy and Management, University of Kansas Medical Center, Kansas City, and the Institute for Health and Disability Policy Studies, University of Kansas, Lawrence. Adele Shartzer is with the Urban Institute, Washington, DC. Noelle K. Kurth is with the Institute for Health and Disability Policy Studies, University of Kansas. Kathleen C. Thomas is with the Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill.
Am J Public Health. 2017 Feb;107(2):262-264. doi: 10.2105/AJPH.2016.303543. Epub 2016 Dec 20.
To use data from the Health Reform Monitoring Survey (HRMS) to examine differences in employment among community-living, working-age adults (aged 18-64 years) with disabilities who live in Medicaid expansion states and nonexpansion states.
Analyses used difference-in-differences to compare trends in pooled, cross-sectional estimates of employment by state expansion status for 2740 HRMS respondents reporting a disability, adjusting for individual and state characteristics.
After the Affordable Care Act (ACA), respondents in expansion states were significantly more likely to be employed compared with those in nonexpansion states (38.0% vs 31.9%; P = .011).
Prior to the ACA, many people with disabilities were required to live in poverty to maintain their Medicaid eligibility. With Medicaid expansion, they can now enter the workforce, increase earnings, and maintain coverage. Public Health Implications. Medicaid expansion may improve employment for people with disabilities.
利用健康改革监测调查（HRMS）的数据，研究居住在医疗补助扩大州和非扩大州的社区生活、工作年龄（18 - 64岁）残疾成年人在就业方面的差异。
分析采用差异中的差异法，比较2740名报告有残疾的HRMS受访者按州扩大状况划分的就业汇总横断面估计趋势，并对个体和州特征进行调整。
《平价医疗法案》（ACA）实施后，与非扩大州的受访者相比，扩大州的受访者就业可能性显著更高（38.0%对31.9%；P = 0.011）。
在ACA之前，许多残疾人需要生活在贫困中以维持其医疗补助资格。随着医疗补助的扩大，他们现在可以进入劳动力市场、增加收入并维持医保覆盖。对公共卫生的影响。医疗补助扩大可能改善残疾人的就业情况。
