VOLUME 52 | NUMBER 3 | JUNE 2017
Medicaid Disenrollment and Disparities in Access to Care: Evidence from Tennessee
Objective: To assess the effects of Tennessee's 2005 Medicaid disenrollment on access to health care among low-income nonelderly adults.
Data Source/Study Setting: We use data from the 2003–2008 Behavioral Risk Factor Surveillance System.
Study Design: We examined the effects of Medicaid disenrollment on access to care among adults living in Tennessee compared with neighboring states, using difference-in-difference models.
Principal Findings: Evidence suggests that Medicaid disenrollment resulted in significant decreases in health insurance and increases in cost-related barriers to care for low-income adults living in Tennessee. Statistically significant changes were not observed for having a personal doctor.
Conclusions: Medicaid disenrollment is associated with reduced access to care. This finding is relevant for states considering expansions or contractions of Medicaid under the Affordable Care Act.
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