title: Reforming Access: Trends in Medicaid Enrollment for New Medicare Beneficiaries, 2008-2011.
abstract: OBJECTIVE
  To evaluate whether aligning the Part D low-income subsidy and Medicaid program enrollment pathways in 2010 increased Medicaid participation among new Medicare beneficiaries.
  
  
  METHODS
  Medicare enrollment records for years 2007-2011.
  
  
  METHODS
  We used a multinomial logistic model with state fixed effects to examine the annual change in limited and full Medicaid enrollment among new Medicare beneficiaries for 2 years before and after the reforms (2008-2011).
  
  
  METHODS
  We identified new Medicare beneficiaries in the years 2008-2011 and their participation in Medicaid based on Medicare enrollment records.
  
  
  RESULTS
  The percentage of beneficiaries enrolling in limited Medicaid at the start of Medicare coverage increased in 2010 by 0.3 percentage points for individuals aging into Medicare and by 1.3 percentage points for those qualifying due to disability (p < .001). There was no significant difference in the size of enrollment increases between states with and without concurrent limited Medicaid eligibility expansions.
  
  
  CONCLUSIONS
  Our findings suggest that streamlining financial assistance programs may improve Medicare beneficiaries' access to benefits.
authors.affiliation: Department of Health Policy, Vanderbilt University School of Medicine, Nashville, TN.
authors.forename: Laura M
authors.initials: LM
authors.lastname: Keohane
authors.affiliation: Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI.
authors.forename: Momotazur
authors.initials: M
authors.lastname: Rahman
authors.affiliation: Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI.|Providence Veterans Administration Medical Center, Health Services Research Program, Providence, RI.
authors.forename: Vincent
authors.initials: V
authors.lastname: Mor
mesh_terms: D000328:Adult; D000368:Aged; D001364:Awareness; D014487:Centers for Medicare and Medicaid Services, U.S. / Q000458:organization & administration; D006233:Persons with Disabilities / Q000706:statistics & numerical data; D004608:Eligibility Determination / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008484:Medicaid / Q000458:organization & administration* / Q000706:statistics & numerical data*; D006278:Medicare / Q000458:organization & administration* / Q000706:statistics & numerical data*; D054524:Medicare Part D / Q000706:statistics & numerical data; D008875:Middle Aged; D014481:United States; D019131:United States Social Security Administration / Q000458:organization & administration
keywords: Medicaid; Medicare; Medicare Savings Programs; evaluation design and research; state health policies