Year of Publication
2013
College
Public Health
Date Available
4-25-2013
Degree Name
Master of Public Health (M.P.H.)
Committee Member
Dr. Scott Hankins
Advisor
Dr. Julia Costich
Co-Director of Graduate Studies
Dr. Richard Ingram
Abstract
Abstract
Background:
Arizona, New York, and Maine expanded Medicaid eligibility to include nonelderly non-disabled childless adults between 2001 and 2002. This study examines whether this policy affects the percentage of uninsured nonelderly adult population and years of potential life lost in the state.
Methods
I compared the three states with Medicaid expansion with three other states with similar demographic characteristics but without expansions. The study population consists of uninsured adults between ages of 19 and 64 years of income equals or below 138% federal poverty level. I carried out a paired-samples t-test on the data and also plotted a line graph showing the trends of the uninsurance rate and YPLL before and after the implementation of the policy.
Results
There was no statistically significant difference in the uninsurance rate 5 years before and after Medicaid expansion although it was on a downward trend after the expansion. The association between the expansion and increase in rate of Medicaid was statistically significant, p < 0.01. The trends of the YPLL across the states were not affected by the policy.
Conclusion
The study demonstrates an association between Medicaid expansion policy and downward trend in the percentage of the uninsured and increase in the proportion nonelderly adults on Medicaid.
Recommended Citation
Eze, Lazarus Ude, "The Effect of State Expansion of Medicaid Eligibility on Uninsurance Rates and Health Outcomes of Nonelderly Adulst" (2013). Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.). 4.
https://uknowledge.uky.edu/cph_etds/4
