TY  - RPRT
        AU  - Halliday, Timothy J.
AU  - Akee, Randall K. Q.
AU  - Sentell, Tetine
AU  - Inada, Megan
AU  - Miyamura, Jill
        TI  - The Impact of Medicaid on Medical Utilization in a Vulnerable Population: Evidence from COFA Migrants
        PY  - 2019/Nov/
        PB  - Institute of Labor Economics (IZA)
        CY  - Bonn
        T2  - IZA Discussion Paper
        IS  - 12779
        UR  - https://www.iza.org/publications/dp12779
        AB  - In March 2015, the State of Hawaii stopped covering the majority of migrants from countries belonging to the Compact of Free Association (COFA) in its Medicaid program. COFA migrants were required to obtain private insurance in the exchanges established under the Affordable Care Act. Using statewide hospital discharge data, we show that Medicaid-funded hospitalizations and emergency room visits declined in this population by 31% and 19%. Utilization funded by private insurance did increase, but not enough to offset the declines in Medicaid-funded utilization. Finally, the expiration of benefits increased uninsured ER visits.
        KW  - immigration
KW  - health insurance
KW  - cost sharing
KW  - Medicaid
KW  - insurance exchange
        ER  -