@article{911d058c195140c5a6d355387b07ee09,
title = "Examining the Effects of the Medicaid Expansion on Social Welfare",
abstract = "The study looks at the effects of cost sharing between the federal and state governments through the Federal Medical Assistance Percentage. Specifically, we research how the enhanced matching rates, through the Medicaid Expansion, affects states allocation of federal funds through other programs. We applied Logistic regression test towards the Medicaid expansion and state spending/allocation of funds towards state programs. Our results indicated evidence a positive effect associated with state Medicaid expansions and increased allocation of state and federal funding on social welfare. Comparatively, non-expanded states did not see increased allocation of funding.",
keywords = "Governance, health policy, medicaid",
author = "Andrew Kim and Liang Zhao",
note = "Funding Information: The main purpose of this study is to examine the relationship between increased federal subsidy through the Medicaid expansion and state spending behavior. This study shows that federal matching grants can have a substantial effect on state behavior. In most specifications, a higher FMAP () increases the amount given to beneficiaries of state Medicaid programs, by increasing the number of people receiving benefits through the program. The Federal Government provides broad guidelines for minimum coverage or benefits in which states must adhere to. Medicaid is decentralized and states have broad excursion on the benefits and coverage of their program. State Medicaid spending is largely financed by federal tax dollars. The Federal match gives states the incentive to use their Medicaid program with subsidized costs. In addition to the benefits are the costs associated with matching. States attempt to channel as many healthcare programs under Medicaid to qualify for federal funds. As governors mull the decision to expand Medicaid due to taking 25% of the state budget, states will lose up to 1 dollar to 3 dollars of federal funds for every dollar cut from their Medicaid program. Medicaid is the only program that provides federal funding and is the last program be cut because it is the only program that generates federal subsides. Publisher Copyright: {\textcopyright} 2022 American Society for Public Administration.",
year = "2022",
doi = "10.1080/10999922.2022.2112867",
language = "English",
journal = "Public Integrity",
issn = "1099-9922",
publisher = "Public Integrity",
}
