Are Adults Benefiting From State Coverage Expansions?

Abstract
This study provides a rigorous evaluation of state efforts to expand insurance coverage in California, Massachusetts, New Jersey, and Wisconsin. Overall, parents in Wis- consin and parents and childless adults in Massachusetts experienced the largest expan- sions in public coverage, with few, if any, offsetting reductions in private coverage. In con- trast, the coverage expansions for parents in California and New Jersey led to increased enrollment, but often at the expense of private coverage. Because constraints on state re- sources are putting pressure on expansion efforts, we find evidence that cutbacks will place more adults at risk of being uninsured. (Health Affairs 25 (2006): w1-w14; 10.1377/ hlthaff.25.w1)

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