title: Medicaid Disenrollment and Disparities in Access to Care: Evidence from Tennessee.
abstract: To assess the effects of Tennessee's 2005 Medicaid disenrollment on access to health care among low-income nonelderly adults.
  
  
  
  We use data from the 2003-2008 Behavioral Risk Factor Surveillance System.
  
  
  
  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.
  
  
  
  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.
  
  
  
  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.
authors.affiliation: Department of Health Behavior and Policy, School of Medicine, Virginia Commonwealth University, Richmond, VA.
authors.forename: Wafa W
authors.initials: WW
authors.lastname: Tarazi
authors.affiliation: Department of Health Behavior and Policy, School of Medicine, Virginia Commonwealth University, Richmond, VA.
authors.forename: Tiffany L
authors.initials: TL
authors.lastname: Green
authors.affiliation: Department of Health Behavior and Policy, School of Medicine, Virginia Commonwealth University, Richmond, VA.
authors.forename: Lindsay M
authors.initials: LM
authors.lastname: Sabik
mesh_terms: D040343:Behavioral Risk Factor Surveillance System; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D019458:Insurance Coverage; D007348:Insurance, Health / Q000191:economics*; D008297:Male; D008484:Medicaid / Q000191:economics* / Q000706:statistics & numerical data; D017057:Medically Uninsured / Q000706:statistics & numerical data*; D058991:Patient Protection and Affordable Care Act; D011203:Poverty; D013714:Tennessee; D014481:United States
keywords: Medicaid disenrollment; access to care; insurance coverage