This brief provides an overview of work status of non-disabled, adult Medicaid enrollees and examines some of the policy proposals around tying Medicaid coverage to work. It finds that, among non-disabled, non-elderly Medicaid adults (including parents and childless adults — the group targeted by the Medicaid expansion) nearly 8 in 10 live in working families, and a majority are working themselves. However, nearly half of working Medicaid enrollees are employed by small firms, and many work in industries with low ESI offer rates. Among those who were not working, most report major impediments to their ability to work. Under current law, states cannot impose a work requirement as a condition of Medicaid eligibility, but some states have sought to impose a work requirement for the Medicaid expansion population through waivers. The issue of work requirements may be re-examined by the new administration and may be debated in Congress as part of broader efforts to restructure Medicaid financing and core federal requirements.
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A Comprehensive Review of Research Finds That the ACA Medicaid Expansion Has Reduced the Uninsured Rate and Increased Access to Care in Expansion States
Multiple studies find that the Affordable Care Act’s Medicaid expansion has increased coverage, with enrollment exceeding expectations in some states, while producing budget savings for states and reductions in uncompensated care costs for hospitals, according to a Kaiser Family Foundation review of 61 studies and policy reports. The literature review provides…
This brief highlights low-income workers and the impact of ACA coverage expansions on this population. Low-income workers may not have access to jobs that provide full-time, full-year employment or jobs with comprehensive benefit packages, including health insurance. Medicaid plays an important role in providing health coverage for low-income workers, and coverage expansions implemented under the ACA have produced substantial coverage gains for low-income workers and a corresponding reduction in the uninsured. However, low-income workers in non-expansion states with incomes too high for Medicaid but too low for subsidies in the Marketplace do not have an affordable coverage option and will likely remain uninsured.
This brief highlights voices from adult focus group participants with low and moderate incomes who gained Medicaid or Marketplace coverage following implementation of the ACA. It focuses on work, including work status, the new labor market, job benefits, and the role of ACA coverage for those with non-traditional jobs.
This brief was prepared with the Rockefeller Institute of Government, the public policy research arm of the State University of New York. It is designed to provide some insight into the underlying economic and fiscal conditions in expansion and non-expansion states leading up to 2014 by looking at the typical (i.e. median) state for each group. This analysis will provide a framework against which to measure the impact of expansion decisions going forward. The sections focus on: demographics, tax capacity and revenue, state budgets and employment.
As additional states consider whether to implement the ACA Medicaid expansion, some have raised pursuing waiver authority to tie Medicaid eligibility for adults under the expansion to work requirements. This fact sheet profiles uninsured adults who could gain Medicaid coverage under the ACA by their relationship to the workforce and job-based coverage.
New Kaiser/New York Times/CBS News Poll Looks at Experiences of Americans Who are Not Employed and What It Would Take to Get Them Back to Work
Most Americans in prime working age who aren’t currently employed hope to return to work in the future, though family responsibilities, health issues and a lack of good jobs pose significant challenges, finds a new survey conducted by the Kaiser Family Foundation, The New York Times and CBS News. Rather than…
To help shed light on recent trends in the U.S. employment market, the Kaiser Family Foundation partnered with the New York Times and CBS News to conduct a survey of adults between the ages of 25-54 (generally considered to be prime working age) who are not currently employed. Rather than focusing only on those who meet the official government definition of unemployment, this survey takes a broad look at all prime-age adults who are not working, regardless of their desire for work or job-seeking activities. While the official U.S. unemployment rate has declined since the start of the recession in late 2007, the total share of adults who are not employed has risen in recent years. This survey examines the views and experiences of this broad group of prime-age workers who are not employed, including how they get by financially, the factors to which they attribute their lack of employment, what it would take to get them working, and – for those who used to work – how being out of work has changed their lives.
Interactive tool examining various subgroups of the uninsured. The tool provides basic information and data on how many people in a subpopulation are uninsured, why they may be uninsured, and how the Affordable Care Act (ACA) may affect their coverage. Among the groups examined are people with pre-existing conditions, the unemployed, the self-employed, part-time workers, adults working for a small business, the near-elderly, young adults, adults living in a rural area, adults living with a disability and adults living with a mental illness.
As the country struggles to recover from the impact of the Great Recession, one much discussed and analyzed economic measure has been the number of Americans who are unemployed. NPR News and the Kaiser Family Foundation partnered on the Long-Term Unemployed Survey to better describe the experiences and views of…