Mandal Bidisha, Porto Nilton, Kiss D Elizabeth, Cho Soo Hyun, Head Lorna Saboe-Wounded
School of Economic Sciences Washington State University Pullman Washington USA.
Human Development & Family Science University of Rhode Island Kingston Rhode Island USA.
J Consum Aff. 2022 Dec 10. doi: 10.1111/joca.12500.
Using data from the US Census Bureau's Household Pulse Survey, we analyzed the likelihood of loss of health insurance and enrollment into new health coverage during the early months of the COVID-19 pandemic. Loss of employment was associated with a significant increase in the likelihood of loss of health insurance and, specifically, an increase in the likelihood of employer-sponsored health insurance. However, individuals in Medicaid expansion states experienced a lower likelihood of loss of health insurance compared with individuals in nonexpansion states. At the same time, there was a statistically significant increase in Medicaid enrollment in expansion states, by 3.2 percentage points. Reemployment or acquiring employment was associated with a gain in health insurance coverage. During an economic downturn, eligibility, and coverage gaps leave many without affordable coverage options, and the pandemic will likely bring renewed attention to gaps in Medicaid coverage in nonexpansion states.
利用美国人口普查局家庭脉搏调查的数据，我们分析了在新冠疫情爆发的最初几个月失去医疗保险以及加入新的医保覆盖范围的可能性。失业与失去医疗保险的可能性显著增加相关，具体而言，雇主提供的医疗保险失去可能性增加。然而，与未扩大医保覆盖范围的州的个人相比，医疗补助扩大州的个人失去医疗保险的可能性较低。与此同时，扩大州的医疗补助参保率在统计上显著增加了3.2个百分点。再就业或获得工作与医保覆盖范围的增加相关。在经济衰退期间，资格和覆盖范围的差距使许多人没有负担得起的保险选择，而疫情可能会再次引发人们对未扩大医保覆盖范围的州医疗补助覆盖差距的关注。
