KFF May 6, 2021
The new financial incentive for expansion in the American Rescue Plan Act (ARPA) of 2021 has reignited debate on Medicaid expansion under the Affordable Care Act (ACA) in the twelve states that have not adopted the expansion. Further, the coronavirus pandemic has adversely affected health outcomes (as evidenced by suppressed health care utilization and increased excess mortality) and economic wellbeing. While Medicaid has served as a coverage safety net during the pandemic and resulting economic crisis, coverage options for many low-income adults are limited in non-expansion states.
This literature review provides context for these expansion debates by summarizing evidence from nearly 200 studies published between February 2020 and March 2021 on the impact of state Medicaid expansions under the ACA....
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