title: Financial burden of medical out-of-pocket spending by state and the implications of the 2014 Medicaid expansions.
abstract: This study is the first to offer a detailed look at the burden of medical out-of-pocket spending, defined as total family medical out-of-pocket spending as a proportion of income, for each state. It further investigates which states have greater shares of individuals with high burden levels and no Medicaid coverage but would be Medicaid eligible under the 2014 rules of the Affordable Care Act should their state choose to participate in the expansion. This work suggests which states have the largest populations likely to benefit, in terms of lowering medical spending burden, from participating in the 2014 adult Medicaid expansions.
authors.affiliation: The Urban Institute, Health Policy Center, Washington, DC, USA KCaswell@urban.org.
authors.forename: Kyle J
authors.initials: KJ
authors.lastname: Caswell
authors.affiliation: The Urban Institute, Health Policy Center, Washington, DC, USA.
authors.forename: Timothy
authors.initials: T
authors.lastname: Waidmann
authors.affiliation: The Urban Institute, Health Policy Center, Washington, DC, USA.
authors.forename: Linda J
authors.initials: LJ
authors.lastname: Blumberg
mesh_terms: D005382:Financing, Personal / Q000706:statistics & numerical data*; D006801:Humans; D007182:Income / Q000706:statistics & numerical data*; D008484:Medicaid / Q000706:statistics & numerical data*; D058991:Patient Protection and Affordable Care Act; D014481:United States
keywords: Medicaid; Medical out-of-pocket spending; financial burden; health care reform; uninsured