Table 1.
Baseline characteristics of individuals by Affordable Care Act Medicaid expansion status*
Characteristics | Expansion states (n=11 708) | Non-expansion states (n=8448) | P value |
---|---|---|---|
Mean (SD) age (years | 38.4 (15.7) | 38.0 (16.0) | 0.40 |
Female (%) | 55.6 | 56.8 | 0.31 |
Race/ethnicity (%): | 0.02 | ||
White, non-Hispanic | 44.2 | 45.9 | |
Hispanic | 29.2 | 25.4 | |
Black, non-Hispanic | 17.0 | 24.0 | |
Other | 9.5 | 4.7 | |
Education (%): | 0.03 | ||
<High school | 29.1 | 27.8 | |
High school or some college | 60.7 | 64.4 | |
Bachelor's degree | 8.0 | 6.6 | |
>Bachelor's degree | 2.1 | 1.3 | |
Employed (%) | 43.6 | 46.8 | 0.04 |
Married (%) | 31.1 | 33.6 | 0.22 |
Mean (SD) family size | 2.8 (2.2) | 2.8 (2.2) | 0.82 |
Number of children aged ≤18 (%): | 0.64 | ||
0 | 51.5 | 51.8 | |
1 | 16.6 | 17.5 | |
2 or more | 31.9 | 30.7 | |
Mean family income ($) | 15256 | 15076 | 0.55 |
Health insurance (%)†: | |||
Private insurance (%) | 22.6 | 27.1 | 0.01 |
Medicaid (%) | 42.7 | 25.1 | <0.001 |
Uninsured (%) | 31.7 | 44.1 | <0.001 |
Study outcomes ($): | |||
Out-of-pocket spending‡ | 429 | 538 | 0.01 |
Premium contributions§ | 688 | 827 | 0.09 |
Out-of-pocket plus premium spending§ | 1418 | 1770 | 0.009 |
Catastrophic financial burden¶ | 18.8 | 21.5 | 0.04 |
SD=standard deviation. $1=£0.77; €0.90.
Values are weighted to be nationally representative of individuals aged 19-64 years with family incomes lower than 138% of the federal poverty level based on the pooled data of Medical Expenditure Panel Survey 2010-13. US dollars are adjusted for inflation to 2017 using the consumer price index.
Definitions of health insurance variables shown in appendix section 2.
Out-of-pocket spending includes deductibles, copayments, and coinsurance paid by each individual.
Family level premium contributions were assigned to each individual in the family. Similarly, family level out-of-pocket plus premium spending were calculated by summing out-of-pocket spending paid by all family members and family level premium contributions, and then assigning the value to each member of the family.
Defined as annual out-of-pocket plus premium spending exceeding 40% of post-subsistence income.