Table 2 –
Health and Job-related Outcomes of Michigan Medicaid Expansion Enrollees, by the Presence of a Behavioral Health Diagnosis, 2016
| Job outcomes | Behavioral health diagnosis, Weighted % or mean N=2,034 |
95% CI | No behavioral health diagnosis, Weighted % or mean N=2,056 |
95% CI | Total, Weighted % or mean N=4,090 |
95% CI | P* |
|---|---|---|---|---|---|---|---|
| Employment statusa,b | <.001 | ||||||
| Employed or self-employed (n=2,079) | 43.3 | 40.6–46.0 | 54.0 | 51.3–56.8 | 48.8 | 47.0–50.7 | |
| Out of work ≥ 1 yr. (n=707) | 19.9 | 17.8–22.3 | 19.4 | 17.2–21.9 | 19.7 | 18.1–21.3 | |
| Out of work < 1 yr. (n=258) | 8.1 | 6.7–9.8 | 7.6 | 6.1–9.5 | 7.9 | 6.8–9.1 | |
| Homemaker (n=217) | 3.6 | 2.8–4.6 | 5.4 | 4.4–6.6 | 4.5 | 3.8–5.3 | |
| Student (n=161) | 4.5 | 3.3–6.0 | 5.8 | 4.6–7.4 | 5.2 | 4.3–6.2 | |
| Retired (n=167) | 1.9 | 1.4–2.6 | 3.0 | 2.4–3.9 | 2.5 | 2.1–3.0 | |
| Unable to work (n=479) | 18.3 | 16.3–20.5 | 4.6 | 3.6–5.9 | 11.3 | 10.1–12.5 | |
| Missed work days due to illness or injury in past 12 monthsc,d | 10.7 | SD=35.7 | 5.6 | SD=23.6 | 7.9 | SD=29.8 | < .001 |
| Compared to 12 months before, missed work days more, less, or about the same?a,c | <.001 | ||||||
| More (n= 299) | 14.9 | 12.5–17.6 | 10.9 | 8.9–13.3 | 12.7 | 11.1–14.4 | |
| Less (n= 384) | 21.0 | 18.1–24.4 | 13.1 | 10.9–15.7 | 16.6 | 14.7–18.6 | |
| About the same (n= 1,611) | 61.7 | 57.9–65.4 | 74.1 | 70.9–77.1 | 68.7 | 66.2–71.8 | |
| Having health insurance through HMP helped me do a better job at workc (n= 1,431) | 76.4 | 72.9–79.7 | 64.1 | 60.5–67.5 | 69.4 | 66.8–71.8 | < .001 |
| Having health insurance through HMP has made me better able to look for a jobe | .49 | ||||||
| Strongly agree (n= 158) | 17.4 | 13.7–21.8 | 15.0 | 11.5–19.5 | 16.2 | 13.5–19.3 | |
| Agree (n= 389) | 38.4 | 33.5–43.6 | 38.2 | 32.7–44.1 | 38.3 | 34.6–42.2 | |
| Neutral (n= 185) | 19.6 | 15.5–24.3 | 19.0 | 14.4–24.7 | 19.3 | 16.1–22.9 | |
| Disagree (n= 143) | 14.5 | 11.1–18.9 | 19.7 | 14.8–25.7 | 17.2 | 14.0–20.8 | |
| Strongly disagree (n= 35) | 4.5 | 2.7–7.5 | 2.6 | 1.4–4.6 | 3.5 | 2.4–5.2 | |
| Don’t know (n= 47) | 5.6 | 3.5–8.7 | 5.4 | 3.2–9.1 | 5.5 | 3.9–7.7 | |
| Changed jobs in the last 12 monthsc (n= 447) | 29.2 | 25.2–33.6 | 26.4 | 22.9–30.2 | 27.6 | 24.9–30.4 | .42 |
| Having health insurance through HMP helped me get a better jobf | .34 | ||||||
| Strongly agree (n= 33) | 7.9 | 4.1–14.7 | 7.5 | 4.2–13.0 | 7.7 | 5.0–11.6 | |
| Agree (n= 123) | 32.1 | 24.1–41.3 | 26.8 | 19.5–35.5 | 29.2 | 23.6–35.4 | |
| Neutral (n= 103) | 20.0 | 14.3–27.4 | 22.7 | 16.5–30.4 | 21.5 | 17.1–26.7 | |
| Disagree (n= 150) | 28.6 | 21.2–37.3 | 37.6 | 29.6–46.2 | 33.5 | 27.8–39.6 | |
| Strongly disagree (n= 30) | 9.2 | 5.4–15.4 | 4.0 | 2.1–7.6 | 6.4 | 4.2–9.6 | |
| Don’t know (n= 8) | 2.1 | 0.9–5.2 | 1.5 | 0.3–6.1 | 1.8 | 0.8–4.0 | |
| Health outcomes | |||||||
| Physical health has gotten better (n= 1,961) | 51.2 | 48.5–54.0 | 44.6 | 41.8–47.4 | 47.8 | 45.8–49.8 | < .001 |
| Mental and emotional health has gotten better (n= 1,550) | 45.0 | 42.3–47.8 | 31.8 | 29.1–34.5 | 38.2 | 36.3–40.1 | < .001 |
Note. CI = confidence interval; SD = standard deviation
Analysis included a “Don’t know” group which has been omitted from the table (<1% of respondents)
P value generated from χ2 analyses that included all categories of employment status, including employed or self-employed, out of work ≥ 1 yr., out of work < 1 yr., homemaker, student, retired, and unable to work
Analysis restricted to respondents who are employed/self-employed.
Behavioral health diagnosis group, n= 1,040; No behavioral health diagnosis group, n= 1,269. Values reported are mean (95% CI) number of days.
Analysis restricted to respondents who are out of work for > 1 yr., or out of work for < 1 yr.
Analysis restricted to respondents who are employed/self-employed and had a job change in the last 12 months.
P values compare between behavioral health diagnosis group and non-behavioral health diagnosis group. χ2 test was used for categorical variables and t test was used for continuous variables.