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Research Article
Open Access

State Approaches to Simplify Medicaid Eligibility and Implications for Inequality of Infant Health

Emily Rauscher, Ailish Burns
RSF: The Russell Sage Foundation Journal of the Social Sciences September 2023, 9 (4) 32-60; DOI: https://doi.org/10.7758/RSF.2023.9.4.02
Emily Rauscher
aAssociate professor of sociology at Brown University, United States
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Ailish Burns
bDoctoral student in sociology and a PSTC trainee at Brown University, United States
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    Figure 1.

    State Timing of Medicaid Expansion for Pregnant Women and Infants

    Source: Authors’ tabulation based on Medicaid expansion dates (Hill 1990).

    Note: Dates of state Medicaid expansion with Omnibus Budget Reconciliation Act of 1989 (OBRA 89), which required states to cover pregnant women and children up to age six at 133 percent of the poverty level by April 1990. The optimal way to view the figure is in color. We refer readers of the print edition of this article to https://www.rsfjournal.org/content/9/4/32 to view the color version.

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    Figure 2.

    Illustration of Methodological Design

    Source: Authors’ tabulation based on Medicaid expansion dates (Hill 1990).

    Note: The thirty-six birth months before and after Medicaid expansion in each state. The first eight after expansion are excluded because it is unclear how much those infants were exposed Medicaid expansion or reforms during gestation. Results are consistent when including the first eight months.

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    Figure 3.

    Predicted Effects of Medicaid Expansion and State Reforms

    Source: Authors’ calculations based on NVSS data 1985–94 (CDC 1985–94).

    Note: Coefficients from table 3.

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    Figure 4.

    Predicted Effects of Reform Combinations on Infant Health by Race-Ethnicity and Education

    Source: Authors’ calculations based on NVSS data 1985–94 (CDC 1985–94).

    Note: Coefficients from table 4, panels A and B.

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RSF: The Russell Sage Foundation Journal of the Social Sciences: 9 (4)
RSF: The Russell Sage Foundation Journal of the Social Sciences
Vol. 9, Issue 4
1 Sep 2023
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State Approaches to Simplify Medicaid Eligibility and Implications for Inequality of Infant Health
Emily Rauscher, Ailish Burns
RSF: The Russell Sage Foundation Journal of the Social Sciences Sep 2023, 9 (4) 32-60; DOI: 10.7758/RSF.2023.9.4.02

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State Approaches to Simplify Medicaid Eligibility and Implications for Inequality of Infant Health
Emily Rauscher, Ailish Burns
RSF: The Russell Sage Foundation Journal of the Social Sciences Sep 2023, 9 (4) 32-60; DOI: 10.7758/RSF.2023.9.4.02
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  • Article
    • Abstract
    • THEORETICAL BACKGROUND
    • POLICY EFFECTS ON INEQUALITY AND INFANT HEALTH
    • POLICY BACKGROUND
    • MEDICAID REFORMS TO REDUCE BURDENS TO ENROLLMENT
    • MEDICAID REFORMS TO REDUCE BURDENS TO CARE
    • METHODS
    • DATA
    • MEASURES
    • ANALYSIS
    • SENSITIVITY ANALYSES
    • MECHANISMS
    • RESULTS
    • MEDICAID ENROLLMENT AND SPENDING
    • INFANT HEALTH AND PRENATAL CARE
    • VARIATION BY RACE, ETHNICITY, AND EDUCATION
    • MECHANISMS
    • CONCLUSION
    • FOOTNOTES
    • REFERENCES
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Keywords

  • Medicaid
  • infant health
  • prenatal care
  • inequality

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