Medicaid Work Requirements — Results from the First Year in Arkansas

Arkansas was among several states that implemented Medicaid work requirements. Results from surveys of low-income adults suggest that work requirements were associated with a decrease in the number of people in Arkansas with Medicaid coverage and an increase in the number without health insurance.

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Bibliographic Details
Published inThe New England journal of medicine Vol. 381; no. 11; pp. 1073 - 1082
Main Authors Sommers, Benjamin D, Goldman, Anna L, Blendon, Robert J, Orav, E. John, Epstein, Arnold M
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 12.09.2019
Subjects
Age
Bias
Community service
Employment
Health insurance
Insurance coverage
Medicaid
Polls & surveys
Public health
Uninsured people
Louisiana
United States > US
Arkansas
Texas
Kentucky
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Abstract Arkansas was among several states that implemented Medicaid work requirements. Results from surveys of low-income adults suggest that work requirements were associated with a decrease in the number of people in Arkansas with Medicaid coverage and an increase in the number without health insurance.
AbstractList Arkansas was among several states that implemented Medicaid work requirements. Results from surveys of low-income adults suggest that work requirements were associated with a decrease in the number of people in Arkansas with Medicaid coverage and an increase in the number without health insurance.
Author Epstein, Arnold M
Goldman, Anna L
Sommers, Benjamin D
Blendon, Robert J
Orav, E. John
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Cites_doi 10.1056/NEJMsr1406753
10.1377/hlthaff.2017.0293
10.1377/hlthaff.2017.1491
10.1016/j.hjdsi.2014.03.001
10.1111/j.1475-6773.2011.01314.x
10.15868/socialsector.25034
10.1001/jama.2018.0420
10.1056/NEJMp1800549
10.1001/jamainternmed.2018.4194
10.1056/NEJMp1700156
10.1001/jama.2015.8421
10.1001/jamainternmed.2016.4419
10.1146/annurev-publhealth-031816-044555
10.1377/hlthaff.2018.0331
10.1056/NEJMsb1706645
10.2139/ssrn.1353354
10.1007/s11606-018-4764-4
10.1377/hlthaff.2016.1650
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References Huberfeld, N (r011) 2018; 378
r020
Sommers, BD, Blendon, RJ, Orav, EJ, Epstein, AM (r016) 2016; 176
Sommers, BD, Musco, T, Finegold, K, Gunja, MZ, Burke, A, McDowell, AM (r035) 2014; 371
r001
Karaca-Mandic, P, Norton, EC, Dowd, B (r021) 2012; 47
Sommers, BD, Gawande, AA, Baicker, K (r022) 2017; 377
Kominski, GF, Nonzee, NJ, Sorensen, A (r024) 2017; 38
Goldman, AL, Woolhandler, S, Himmelstein, DU, Bor, DH, McCormick, D (r014) 2018; 178
Sommers, BD, Fry, CE, Blendon, RJ, Epstein, AM (r015) 2018; 37
Mazurenko, O, Balio, CP, Agarwal, R, Carroll, AE, Menachemi, N (r023) 2018; 37
Sommers, BD, Maylone, B, Blendon, RJ, Orav, EJ, Epstein, AM (r017) 2017; 36
Skopec, L, Musco, T, Sommers, BD (r032) 2014; 2
r019
r013
Greene, J (r026) 2019; 34
Sommers, BD, Gunja, MZ, Finegold, K, Musco, T (r034) 2015; 314
Sommers, BD, Epstein, AM (r018) 2017; 376
r031
r010
r033
r012
r030
r006
r028
r007
r029
r008
McMorrow, S, Gates, JA, Long, SK, Kenney, GM (r036) 2017; 36
r009
r002
r003
r025
r004
Carroll, AE (r005) 2018; 319
r027
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References_xml – ident: r013
  article-title: (https://www.healthaffairs.org/do/10.1377/hblog20180702.144007/full/)
– volume: 371
  start-page: 867
  year: 2014
  end-page: 874
  ident: r035
  article-title: Health reform and changes in health insurance coverage in 2014.
  publication-title: N Engl J Med
  contributor:
    fullname: McDowell, AM
– volume: 378
  start-page: 788
  year: 2018
  end-page: 791
  ident: r011
  article-title: Can work be required in the Medicaid program?
  publication-title: N Engl J Med
  contributor:
    fullname: Huberfeld, N
– ident: r001
– ident: r007
– volume: 37
  start-page: 944
  year: 2018
  end-page: 950
  ident: r023
  article-title: The effects of Medicaid expansion under the ACA: a systematic review.
  publication-title: Health Aff (Millwood)
  contributor:
    fullname: Menachemi, N
– volume: 178
  start-page: 1549
  year: 2018
  end-page: 1552
  ident: r014
  article-title: Analysis of work requirement exemptions and Medicaid spending.
  publication-title: JAMA Intern Med
  contributor:
    fullname: McCormick, D
– volume: 176
  start-page: 1501
  year: 2016
  end-page: 1509
  ident: r016
  article-title: Changes in utilization and health among low-income adults after Medicaid expansion or expanded private insurance.
  publication-title: JAMA Intern Med
  contributor:
    fullname: Epstein, AM
– ident: r009
  article-title: Hardy B. Work requirement ends Medicaid coverage for 4,600 more Arkansans in December. Arkansas Times. December 18, 2018
– ident: r019
– ident: r028
  article-title: Greene J. Medicaid recipients’ early experience with the Arkansas Medicaid work requirement. Health Affairs Blog. September 5, 2018 ( https://www.healthaffairs.org/do/10.1377/hblog20180904.979085/full/ )
– volume: 38
  start-page: 489
  year: 2017
  end-page: 505
  ident: r024
  article-title: The Affordable Care Act’s impacts on access to insurance and health care for low-income populations.
  publication-title: Annu Rev Public Health
  contributor:
    fullname: Sorensen, A
– volume: 377
  start-page: 586
  year: 2017
  end-page: 593
  ident: r022
  article-title: Health insurance coverage and health — what the recent evidence tells us.
  publication-title: N Engl J Med
  contributor:
    fullname: Baicker, K
– volume: 319
  start-page: 646
  year: 2018
  end-page: 647
  ident: r005
  article-title: The problem with work requirements for Medicaid.
  publication-title: JAMA
  contributor:
    fullname: Carroll, AE
– ident: r008
  article-title: Arkansas Department of Human Services. “Healthcare notice summary: you are subject to the work requirement.” January 8, 2019 (no longer available online)
– ident: r010
– ident: r033
– ident: r029
  article-title: DHS expanding phone reporting, outreach for Arkansas Works enrollees. Little Rock: Arkansas Department of Human Services, December 12, 2018
– ident: r027
– ident: r030
  article-title: Sanger-Katz M. One big problem with Medicaid work requirement: people are unaware it exists. New York Times. September 24, 2018
– volume: 36
  start-page: 808
  year: 2017
  end-page: 818
  ident: r036
  article-title: Medicaid expansion increased coverage, improved affordability, and reduced psychological distress for low-income parents.
  publication-title: Health Aff (Millwood)
  contributor:
    fullname: Kenney, GM
– volume: 314
  start-page: 366
  year: 2015
  end-page: 374
  ident: r034
  article-title: Changes in self-reported insurance coverage, access to care, and health under the Affordable Care Act.
  publication-title: JAMA
  contributor:
    fullname: Musco, T
– ident: r006
– ident: r002
– ident: r020
– ident: r004
– volume: 2
  start-page: 113
  year: 2014
  end-page: 120
  ident: r032
  article-title: A potential new data source for assessing the impacts of health reform: evaluating the Gallup-Healthways Well-Being Index.
  publication-title: Healthc (Amst)
  contributor:
    fullname: Sommers, BD
– ident: r003
  article-title: Sanger-Katz M. Can requiring people to work make them healthier? New York Times. January 11, 2018
– volume: 376
  start-page: e7
  issue: 6
  year: 2017
  end-page: e7
  ident: r018
  article-title: Red-state Medicaid expansions — Achilles’ heel of ACA repeal?
  publication-title: N Engl J Med
  contributor:
    fullname: Epstein, AM
– volume: 36
  start-page: 1119
  year: 2017
  end-page: 1128
  ident: r017
  article-title: Three-year impacts of the Affordable Care Act: improved medical care and health among low-income adults.
  publication-title: Health Aff (Millwood)
  contributor:
    fullname: Epstein, AM
– ident: r025
  article-title: Wilson JC, Thompson J. Nation’s first Medicaid work requirement sheds thousands from rolls in Arkansas. Health Affairs Blog. October 2, 2018 ( https://www.healthaffairs.org/do/10.1377/hblog20181001.233969/full/ )
– volume: 47
  start-page: 255
  year: 2012
  end-page: 274
  ident: r021
  article-title: Interaction terms in nonlinear models.
  publication-title: Health Serv Res
  contributor:
    fullname: Dowd, B
– ident: r031
– volume: 37
  start-page: 1099
  year: 2018
  end-page: 1108
  ident: r015
  article-title: New approaches in Medicaid: work requirements, health savings accounts, and health care access.
  publication-title: Health Aff (Millwood)
  contributor:
    fullname: Epstein, AM
– volume: 34
  start-page: 532
  year: 2019
  end-page: 534
  ident: r026
  article-title: Medicaid work requirements: who will the new state policies impact?
  publication-title: J Gen Intern Med
  contributor:
    fullname: Greene, J
– ident: r012
– ident: e_1_3_5_20_2
– ident: e_1_3_5_9_2
– ident: e_1_3_5_26_2
– ident: e_1_3_5_31_2
– ident: e_1_3_5_3_2
– ident: e_1_3_5_36_2
  doi: 10.1056/NEJMsr1406753
– ident: e_1_3_5_29_2
– ident: e_1_3_5_4_2
– ident: e_1_3_5_28_2
– ident: e_1_3_5_11_2
– ident: e_1_3_5_18_2
  doi: 10.1377/hlthaff.2017.0293
– ident: e_1_3_5_14_2
– ident: e_1_3_5_24_2
  doi: 10.1377/hlthaff.2017.1491
– ident: e_1_3_5_30_2
– ident: e_1_3_5_33_2
  doi: 10.1016/j.hjdsi.2014.03.001
– ident: e_1_3_5_10_2
– ident: e_1_3_5_22_2
  doi: 10.1111/j.1475-6773.2011.01314.x
– ident: e_1_3_5_34_2
  doi: 10.15868/socialsector.25034
– ident: e_1_3_5_6_2
  doi: 10.1001/jama.2018.0420
– ident: e_1_3_5_21_2
– ident: e_1_3_5_12_2
  doi: 10.1056/NEJMp1800549
– ident: e_1_3_5_13_2
– ident: e_1_3_5_15_2
  doi: 10.1001/jamainternmed.2018.4194
– ident: e_1_3_5_19_2
  doi: 10.1056/NEJMp1700156
– ident: e_1_3_5_35_2
  doi: 10.1001/jama.2015.8421
– ident: e_1_3_5_17_2
  doi: 10.1001/jamainternmed.2016.4419
– ident: e_1_3_5_25_2
  doi: 10.1146/annurev-publhealth-031816-044555
– ident: e_1_3_5_32_2
– ident: e_1_3_5_16_2
  doi: 10.1377/hlthaff.2018.0331
– ident: e_1_3_5_23_2
  doi: 10.1056/NEJMsb1706645
– ident: e_1_3_5_7_2
  doi: 10.2139/ssrn.1353354
– ident: e_1_3_5_8_2
– ident: e_1_3_5_27_2
  doi: 10.1007/s11606-018-4764-4
– ident: e_1_3_5_5_2
– ident: e_1_3_5_37_2
  doi: 10.1377/hlthaff.2016.1650
– ident: e_1_3_5_2_2
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Snippet Arkansas was among several states that implemented Medicaid work requirements. Results from surveys of low-income adults suggest that work requirements were...
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pubmed
mms
SourceType Aggregation Database
Index Database
Publisher
StartPage 1073
SubjectTerms Age
Bias
Community service
Employment
Health insurance
Insurance coverage
Medicaid
Polls & surveys
Public health
Uninsured people
Title Medicaid Work Requirements — Results from the First Year in Arkansas
URI https://nejm.org/doi/full/10.1056/NEJMsr1901772
https://www.ncbi.nlm.nih.gov/pubmed/31216419
https://www.proquest.com/docview/2288842480
https://search.proquest.com/docview/2244130473
Volume 381
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