Leaving medicaid without health insurance: TANF policies and recipients' vulnerabilities

Tyrone Cheng

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

This study identifies factors predicting health insurance coverage of TANF recipients leaving Medicaid programs. A sample of 785 Medicaid spells of enrollment by able-bodied, non-elderly adults is drawn from a national survey. Employing event history analysis and multinomial logistic regression, the study finds that those who left Medicaid were three times more likely to become uninsured than to become privately insured. Recipients leaving TANF were 24 times more likely to leave Medicaid than to remain on Medicaid. The impact of leaving TANF upon becoming uninsured was moderated by restrictive TANF policies. Recipients who were White and employed part-time were 41-42% more likely to become uninsured than were their counterparts. A high unemployment rate increased a recipient's chance of becoming uninsured by 27.5%. Married people, African Americans, those with full-time jobs, and those with earnings above the poverty line were at least 32% more likely to acquire private coverage than their respective counterparts.

Original languageEnglish
Pages (from-to)609-619
Number of pages11
JournalJournal of Health Care for the Poor and Underserved
Volume18
Issue number3
DOIs
StatePublished - 1 Aug 2007

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Medicaid
Health Insurance
health insurance
vulnerability
recipient
insurance coverage
unemployment rate
Insurance Coverage
Unemployment
Life Change Events
Poverty
African Americans
coverage
logistics
poverty
regression
Logistic Models
event
time

Keywords

  • Medicaid
  • TANF recipients

Cite this

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Leaving medicaid without health insurance : TANF policies and recipients' vulnerabilities. / Cheng, Tyrone.

In: Journal of Health Care for the Poor and Underserved, Vol. 18, No. 3, 01.08.2007, p. 609-619.

Research output: Contribution to journalArticle

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