Journal article
The Impact of Medicaid Funding Structures on Inequities in Health Care Access for Latinos in New York, Florida, and Puerto Rico
Health services research
21 Jul 2022
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
OBJECTIVETo study the impact of Medicaid funding structures before and after the implementation of the Affordable Care Act (ACA) on health care access for Latinos in New York (Medicaid expansion), Florida (Medicaid non-expansion), and Puerto Rico (Medicaid block grant). DATA SOURCESPooled state-level data for New York, Florida, and Puerto Rico from the 2011-2019 Behavioral Risk Factor Surveillance System and data from the 2011-2019 American Community Survey and Puerto Rico Community Survey. STUDY DESIGNCross-sectional study using probit with predicted margins to separately compare four health care access measures among Latinos in New York, Florida, and Puerto Rico (having health insurance coverage, having a personal doctor, delayed care due to cost, and having a routine checkup). We also used difference-in-differences to measure the probability percent change of having any health insurance and any public health insurance before (2011-13) and after (2014-2019) the ACA implementation among citizen Latinos in low-income households. DATA COLLECTIONThe sample consisted of Latinos ages 18-64 residing in New York, Florida, and Puerto Rico from 2011 to 2019. PRINCIPAL FINDINGSLatinos in Florida had the lowest probability of having health care access across all four measures and all time periods compared to those in New York and Puerto Rico. While Latinos in Puerto Rico had greater overall health care access compared with Latinos in both states, health care access in Puerto Rico did not change over time. Among citizen Latinos in low-income households, New York had the greatest post-ACA probability of having any health insurance and any public health insurance with a growing disparity with Puerto Rico (9.7% any [1.6 SE], 5.2% public [1.8 SE]). CONCLUSIONSLimited Medicaid eligibility (non-expansion of Florida's Medicaid program) and capped Medicaid funds (Puerto Rico's Medicaid block grant) contributed to reduced health care access over time particularly for citizen Latinos in low-income households.
Metrics
Details
- Title
- The Impact of Medicaid Funding Structures on Inequities in Health Care Access for Latinos in New York, Florida, and Puerto Rico
- Creators
- Alexandra C Rivera-GonzálezDylan H Roby - University of California Irvine Public Health, Health, Society, and Behavior, 653 E. Peltason Dr. Irvine CAJim P Stimpson - Drexel UniversityArturo Vargas Bustamante - Oklahoma State University Center for Health SciencesJonathan Purtle - New York University School of Global Public Health Public Health Policy & Management 708 Broadway New York NYScarlett L Bellamy - Drexel UniversityAlexander N Ortega - Drexel University
- Publication Details
- Health services research
- Publisher
- Wiley
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics; Health Management and Policy
- Web of Science ID
- WOS:000836961800001
- Scopus ID
- 2-s2.0-85135350892
- Other Identifier
- 991019169669904721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services