Evidence of Pent-Up Demand for Care After Medicaid Expansion

Angela R. Fertig, Caroline S. Carlin, Scott Ode, Sharon K. Long

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

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 languageEnglish (US)
Pages (from-to)516-524
Number of pages9
JournalMedical Care Research and Review
Volume75
Issue number4
DOIs
StatePublished - Aug 1 2018

Bibliographical note

Funding Information:
We are grateful for helpful comments from seminar and session participants at the Medica Research Institute; the Department of Health Policy and Management, School of Public Health, University of Minnesota; the Association of Public Policy and Management Annual Meeting; the Minnesota Health Services Research Conference; and the American Society of Health Economists Biennial Meeting. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Support for this research was provided by the Robert Wood Johnson Foundation State Health Access Reform Evaluation (SHARE) program. The views expressed here do not necessarily reflect the views of the Foundation.

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Support for this research was provided by the Robert Wood Johnson Foundation State Health Access Reform Evaluation (SHARE) program. The views expressed here do not necessarily reflect the views of the Foundation.

Publisher Copyright:
© 2017, The Author(s) 2017.

Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.

Keywords

  • Medicaid
  • health care utilization
  • health reform
  • pent-up demand

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