Table. Changes in Insurance Coverage and Insurance Type for Low-Income Adults With Criminal Legal Involvement Before and After Implementation of the ACA in Medicaid Expansion and Nonexpansion States, 2010 to 2017.
Insurance | Medicaid expansion states | Nonexpansion states | DiD estimate, percentage points (95% CI) | |||||
---|---|---|---|---|---|---|---|---|
Adults with coverage, % (95% CI) | Difference, percentage points (95% CI) | Adults with coverage, % (95% CI) | Difference, percentage points (95% CI) | Unadjusted | Adjusted | |||
Pre-ACA | Post-ACA | Pre-ACA | Post-ACA | |||||
Any coverage | 59.2 (51.9 to 66.5) | 82.5 (80.2 to 82.6) | 23.4 (17.2 to 29.5) | 45.4 (43.2 to 47.7) | 54.2 (48.7 to 59.6) | 8.7 (4.1 to 13.4) | 14.6 (6.9 to 22.3) | 14.9 (5.4 to 24.3) |
Medicaid | 37.0 (30.4 to 43.5) | 61.4 (57.9 to 64.9) | 24.5 (16.6 to 32.3) | 24.7 (21.7 to 27.9) | 29.6 (27.0 to 32.4) | 6.2 (2.3 to 10.0) | 18.3 (9.6 to 27.0) | 19.1 (10.2 to 28.0) |
Private | 13.3 (11.1 to 15.5) | 14.0 (12.0 to 16.0) | 0.7 (−1.5 to 2.9) | 14.7 (12.6 to 17.3) | 17.2 (15.1 to 19.6) | 1.5 (−2.3 to 5.4) | −0.8 (−5.2 to 3.6) | −1.1 (−5.9 to 3.6) |
Othera | 5.6 (3.7 to 7.6) | 9.7 (6.6 to 12.8) | 4.1 (1.5 to 6.7) | 3.2 (1.5 to 4.8) | 5.9 (2.8 to 9.1) | 5.7 (−2.0 to 15) | 1.3 (−1.9 to 4.6) | 1.5 (−1.5 to 4.5) |
Abbreviations: ACA, Affordable Care Act; DiD, difference-in-differences.
Other includes coverage via Medicare, Tricare, or the Veterans Health Administration.