Abstract
We compared new Medicaid enrollees with similar ongoing enrollees for evidence of pent-up demand using claims data following Minnesota’s 2014 Medicaid expansion. We hypothesized that if new enrollees had pent-up demand, utilization would decline over time as testing and disease management plans are put in place. Consistent with pent-up demand among new enrollees, the probability of an office visit, a new patient office visit, and an emergency department visit declines over time for new enrollees relative to ongoing Medicaid enrollees. The pattern of utilization suggests that the newly insured are connecting with primary care after the 2014 Medicaid expansion and, unlike ongoing Medicaid enrollees; the newly insured have a declining reliance on the emergency department over time.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 516-524 |
| Number of pages | 9 |
| Journal | Medical Care Research and Review |
| Volume | 75 |
| Issue number | 4 |
| DOIs | |
| State | Published - Aug 1 2018 |
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Keywords
- Medicaid
- health care utilization
- health reform
- pent-up demand
PubMed: MeSH publication types
- Comparative Study
- Journal Article
- Research Support, Non-U.S. Gov't
Cite this
Evidence of Pent-Up Demand for Care After Medicaid Expansion. / Fertig, Angela R.; Carlin, Caroline S.; Ode, Scott; Long, Sharon K.
In: Medical Care Research and Review, Vol. 75, No. 4, 01.08.2018, p. 516-524.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Evidence of Pent-Up Demand for Care After Medicaid Expansion
AU - Fertig, Angela R.
AU - Carlin, Caroline S.
AU - Ode, Scott
AU - Long, Sharon K.
PY - 2018/8/1
Y1 - 2018/8/1
N2 - We compared new Medicaid enrollees with similar ongoing enrollees for evidence of pent-up demand using claims data following Minnesota’s 2014 Medicaid expansion. We hypothesized that if new enrollees had pent-up demand, utilization would decline over time as testing and disease management plans are put in place. Consistent with pent-up demand among new enrollees, the probability of an office visit, a new patient office visit, and an emergency department visit declines over time for new enrollees relative to ongoing Medicaid enrollees. The pattern of utilization suggests that the newly insured are connecting with primary care after the 2014 Medicaid expansion and, unlike ongoing Medicaid enrollees; the newly insured have a declining reliance on the emergency department over time.
AB - We compared new Medicaid enrollees with similar ongoing enrollees for evidence of pent-up demand using claims data following Minnesota’s 2014 Medicaid expansion. We hypothesized that if new enrollees had pent-up demand, utilization would decline over time as testing and disease management plans are put in place. Consistent with pent-up demand among new enrollees, the probability of an office visit, a new patient office visit, and an emergency department visit declines over time for new enrollees relative to ongoing Medicaid enrollees. The pattern of utilization suggests that the newly insured are connecting with primary care after the 2014 Medicaid expansion and, unlike ongoing Medicaid enrollees; the newly insured have a declining reliance on the emergency department over time.
KW - Medicaid
KW - health care utilization
KW - health reform
KW - pent-up demand
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U2 - 10.1177/1077558717697014
DO - 10.1177/1077558717697014
M3 - Article
VL - 75
SP - 516
EP - 524
JO - Medical Care Research and Review
JF - Medical Care Research and Review
SN - 1077-5587
IS - 4
ER -