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Health Related Outcomes among the Poor: Medicaid Expansion vs. Non Expansion States

December 2015

Xuesong Han, Binh T. Nguyen, Jeffrey Drope, Ahmedin Jemal


In nonexpanding Medicaid states, low-income adults were more likely to be black and/or rural residents. They fared much worse than their counterparts in expanding Medicaid states, and had less care utilization as well as fewer prescriptions. While they had lower medical expenditures, they also had higher out of pocket expenditures than their counterparts.

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Policy Implications

States that do not provide Medicaid will have made their residents worse off in terms of medical care, as well as expanding already existing racial and income gaps.

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