University of Kentucky, Lexington, KY, USA.
Indiana University, Bloomington, IN, USA.
Med Care Res Rev. 2021 Oct;78(5):490-501. doi: 10.1177/1077558720909237. Epub 2020 Mar 4.
Medicaid enrollment increases during economic downturns which imply households using the public health insurance program during coverage gaps due to job loss. However, we provide new evidence demonstrating that the Medicaid program's countercyclical protections against economic downturns are largely concentrated in states with more generous Medicaid eligibility criteria for adults. We exploit the timing of the 2007-2009 Great Recession to compare trends in recession-linked Medicaid enrollment between states with more generous Medicaid eligibility guidelines and states with more restrictive guidelines. For similar effects of the recession, Medicaid enrollment grew larger states in with more generous Medicaid programs. Our work suggests for every 100 people becoming unemployed in states with a restrictive Medicaid program, about 96 would be uninsured, and about 11 would enroll in Medicaid. Conversely, about 49 would be uninsured in a state with more generous Medicaid guidelines and 57 would enroll in Medicaid.
医疗补助计划在经济衰退期间的参保人数增加，这意味着家庭在因失业而导致保险覆盖期中断期间会使用公共医疗保险计划。然而，我们提供了新的证据，表明医疗补助计划对经济衰退的反周期性保护在很大程度上集中在对成年人有更宽松的医疗补助资格标准的州。我们利用 2007-2009 年大衰退的时间安排，比较了在更宽松的医疗补助资格准则州和更严格的准则州之间与经济衰退相关的医疗补助参保人数的趋势。对于衰退的类似影响，在拥有更宽松的医疗补助计划的州，医疗补助计划的参保人数增长更大。我们的工作表明，在一个医疗补助计划较为严格的州，每有 100 人失业，就有约 96 人将没有医疗保险，约 11 人将参加医疗补助计划。相反，在一个医疗补助计划较为宽松的州，约有 49 人将没有医疗保险，而有 57 人将参加医疗补助计划。
