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COVID-19 Has Increased Medicaid Enrollment, But Short-Term Enrollment Changes Are Unrelated To Job Losses

Chris Frenier, Sayeh Nikpay, Ezra Golberstein

2020Health Affairs37 citationsDOI

Abstract

The recent coronavirus disease 2019 (COVID-19) global pandemic has resulted in unprecedented job losses in the United States, disrupting health insurance coverage for millions of people. Several models have predicted large increases in Medicaid enrollment among those who have lost jobs, yet the number of Americans who have gained coverage since the pandemic began is unknown. We compiled Medicaid enrollment reports covering the period from March 1 through June 1, 2020, for twenty-six states. We found that in these twenty-six states, Medicaid covered more than 1.7 million additional Americans in roughly a three-month period. Relative changes in Medicaid enrollment differed significantly across states, although enrollment growth was not systemically related to job losses. Our results point to the important effects of state policy differences in the response to COVID-19.

Topics & Concepts

MedicaidCoronavirus disease 2019 (COVID-19)PandemicDemographyHealth insuranceDemographic economicsMedicine2019-20 coronavirus outbreakBusinessGerontologyHealth careEconomic growthDiseaseEconomicsInfectious disease (medical specialty)VirologySociologyOutbreakPathologyEmployment and Welfare StudiesHealthcare Policy and ManagementGlobal Health Care Issues