Medicaid/marketplace "churning": State-by-state comparisons

The Affordable Care Act (ACA) requires roughly all Americans to have health insurance. For many lower-income Americans, this means coverage by Medicaid, employer-sponsored insurance, or health exchanges, depending on their income and state of residence. Approximately half of all low-income, non-elderly Americans knowledge a change of income or family business in a given year, that might outcome in an contingent change in how they are lonesome from health word purchased by an sell to Medicaid – or clamp versa. This process, called “churning,” could lead to both gaps in coverage and disruptions in a smoothness of care. A new study, being expelled as a Web First by Health Affairs, provides state-by-state estimates of churning. Using information from dual Census Bureau sources-its 2008 Survey of Income and Program Participation, and American Community Surveys from 2009-2011 – a authors found that each state is expected to have poignant numbers of residents whose eligibility changes over time: during slightest 40 percent of authorised adults over a march of twelve months. They celebrated that higher-income states and states with some-more inexhaustible Medicaid eligibility criteria in place before a ACA’s enlargement gifted a aloft rate of