Do Welfare Caseload Declines Make the Medicaid Risk Pool Sicker?

Declining welfare caseloads may lead to a sicker population remaining in the Medicaid program, which could increase per enrollee costs and the level of adequate capitation rates. Using data from the 1997 National Survey of America's Families for adults and children, we examine differences in he...

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Bibliographic Details
Main Authors: Bowen Garrett, John Holahan
Format: Article
Language:English
Published: SAGE Publishing 2002-02-01
Series:Inquiry: The Journal of Health Care Organization, Provision, and Financing
Online Access:https://doi.org/10.5034/inquiryjrnl_39.1.12
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spelling doaj-e43637a59e3845e1a2358a2edf692e062020-11-25T03:19:58ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95802002-02-013910.5034/inquiryjrnl_39.1.12Do Welfare Caseload Declines Make the Medicaid Risk Pool Sicker?Bowen GarrettJohn HolahanDeclining welfare caseloads may lead to a sicker population remaining in the Medicaid program, which could increase per enrollee costs and the level of adequate capitation rates. Using data from the 1997 National Survey of America's Families for adults and children, we examine differences in health status and utilization among welfare recipients and welfare leavers who did and did not retain Medicaid. We adjust utilization differences for insurance status and factors often used to adjust capitation rates. We conclude that declining welfare caseloads likely will result in a sicker and more expensive adult Medicaid risk pool.https://doi.org/10.5034/inquiryjrnl_39.1.12
collection DOAJ
language English
format Article
sources DOAJ
author Bowen Garrett
John Holahan
spellingShingle Bowen Garrett
John Holahan
Do Welfare Caseload Declines Make the Medicaid Risk Pool Sicker?
Inquiry: The Journal of Health Care Organization, Provision, and Financing
author_facet Bowen Garrett
John Holahan
author_sort Bowen Garrett
title Do Welfare Caseload Declines Make the Medicaid Risk Pool Sicker?
title_short Do Welfare Caseload Declines Make the Medicaid Risk Pool Sicker?
title_full Do Welfare Caseload Declines Make the Medicaid Risk Pool Sicker?
title_fullStr Do Welfare Caseload Declines Make the Medicaid Risk Pool Sicker?
title_full_unstemmed Do Welfare Caseload Declines Make the Medicaid Risk Pool Sicker?
title_sort do welfare caseload declines make the medicaid risk pool sicker?
publisher SAGE Publishing
series Inquiry: The Journal of Health Care Organization, Provision, and Financing
issn 0046-9580
publishDate 2002-02-01
description Declining welfare caseloads may lead to a sicker population remaining in the Medicaid program, which could increase per enrollee costs and the level of adequate capitation rates. Using data from the 1997 National Survey of America's Families for adults and children, we examine differences in health status and utilization among welfare recipients and welfare leavers who did and did not retain Medicaid. We adjust utilization differences for insurance status and factors often used to adjust capitation rates. We conclude that declining welfare caseloads likely will result in a sicker and more expensive adult Medicaid risk pool.
url https://doi.org/10.5034/inquiryjrnl_39.1.12
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