Are adults in poor health more likely to enroll in public insurance?
Policies to reduce the number of uninsured people are rarely judged by whether they will increase insurance coverage rates among the chronically ill, despite evidence suggesting that the health benefits of coverage are greatest for these individuals. This paper examines the effect of public coverage expansions on insurance take-up and unmet need by low-income mothers in poor health. We find a 14.3-percentage-point reduction in unmet need among mothers reporting fair or poor health status. Our results suggest that some of this reduction is due to individuals moving from inadequate private coverage to public coverage.
Busch
Susan H
SH
Yale University, School of Public Health, Health Policy and Administration, 60 College St., New Haven, CT 06520, USA. susan.busch@yale.edu
Vigdor
Elizabeth Richardson
ER
D000293:Adolescent; D000328:Adult; D040343:Behavioral Risk Factor Surveillance System; D002908:Chronic Disease / Q000191:economics; D005260:Female; D006301:Health Services Needs and Demand / Q000191:economics*; D006304:Health Status; D006801:Humans; D019458:Insurance Coverage / Q000191:economics*; D008483:Medical Assistance / Q000191:economics*; D008875:Middle Aged; D018803:Models, Economic; D009035:Mothers; D014481:United States; D055815:Young Adult