| Autor: |
Su-En Lee M; Melinda Su-En Lee is CEO and cofounder of Parcel Health, Inc., in Pittsburgh, Pennsylvania. At the time this work was performed, she was a graduate student in the College of Pharmacy, University of Michigan, in Ann Arbor, Michigan., Beathard E; Erin Beathard is the Medicaid policy lead in the Institute for Healthcare Policy and Innovation, University of Michigan., Kirch M; Matthias Kirch is the lead data analyst in the Institute for Healthcare Policy and Innovation, University of Michigan., Solway E; Erica Solway is the senior project manager in the Institute for Healthcare Policy and Innovation, University of Michigan., Lewallen M; Maryn Lewallen was a research area specialist intermediate in the Center for Bioethics and Social Sciences in Medicine, University of Michigan, when this work was performed. She now resides in Lahore, Pakistan., Tipirneni R; Renu Tipirneni is an assistant professor in the Department of Internal Medicine, University of Michigan Medical School, in Ann Arbor, Michigan., Patel M; Minal Patel is an associate professor in the Department of Health Behavior and Health Education, University of Michigan School of Public Health, in Ann Arbor, Michigan., Rowe Z; Zachary Rowe is the executive director of Friends of Parkside, in Detroit, Michigan., Goold SD; Susan D. Goold (sgoold@umich.edu) is a professor in the Department of Internal Medicine, University of Michigan Medical School, and the Department of Health Management and Policy, University of Michigan School of Public Health. |
| Abstrakt: |
Addressing health inequities for racial and ethnic minority populations is challenging. After passage of the Affordable Care Act, Michigan launched its Healthy Michigan Plan, which expanded Medicaid eligibility in the state. Our evaluation of the expansion provided the opportunity to study its impact on racial and ethnic minority groups, including Arab American and Chaldean American enrollees, an understudied population. Using data from telephone surveys collected in 2016, 2017, and 2018, we conducted an analysis to study the plan's impact on access to a regular source of care and health status among racial and ethnic minority groups. More than 90 percent of respondents of all racial and ethnic groups reported having a regular source of care after plan enrollment compared with 74.4 percent before enrollment. Respondents who identified as non-Hispanic White, African American, and Hispanic reported improvements in health status after plan enrollment. Our study demonstrates the potential of health insurance access to narrow health inequities between racial and ethnic groups. |
