The Relationship Between Coronavirus Disease 2019 (COVID-19) Pandemic-linked Job Losses and Health Care Access and Household Financial Health in Medicaid Expansion and Nonexpansion States.
Med Care
; 61(12): 872-881, 2023 12 01.
Article
em En
| MEDLINE
| ID: mdl-37801548
ABSTRACT
BACKGROUND:
Unemployment associated with the coronavirus disease 2019 (COVID-19) pandemic was linked to financial insecurity and disruptions in access to health care.OBJECTIVE:
To explore whether expanded access to Medicaid mitigated the likelihood of health and non-health financial hardship associated with pandemic-linked job loss.DESIGN:
We estimate linear regression models comparing differences in the levels of outcomes attributable to pandemic-linked joblessness in Medicaid expansion and nonexpansion states. OBSERVATIONS A total of 20,281 adults aged 19-64 were in the 2021 National Financial Capability Study.MEASURES:
Our key exposure was job loss, layoffs, and furloughs, attributable to the COVID-19 pandemic. Outcomes under evaluation include indicators of health care access and household financial health.RESULTS:
Relative to persons reporting pandemic-linked unemployment in nonexpansion states, adults experiencing pandemic-linked job loss in expansion states were less likely to report as uninsured [-6.2 percentage points (PPs); 95% CI -10.8, -1.6; P < 0.01], having unpaid medical bills (-4.3 PP; 95% CI -8, -0.6; P < 0.05), having unmet medical needs due to cost (-5.3 PP; 95% CI -10.1, -0.5; P < 0.05), and having calls from debt collection agencies (-6.9 PP; 95% CI -10.6, -3.1; P < 0.01). Patterns consistent with Medicaid acting as a safety net for the adverse financial effects of job loss were more pronounced for middle-income households.CONCLUSIONS:
In economic downturns, such as the COVID-19 crisis, Medicaid can help insulate households from diminished health care access and financial distress associated with job loss.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Medicaid
/
COVID-19
Tipo de estudo:
Health_economic_evaluation
Limite:
Adult
/
Humans
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article