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Member Research and Reports

Member Research and Reports

GW: Analysis Finds Medicaid Work Requirement Programs Likely to Have a Significant Spillover Effect on Capacity, Staffing and Services

More than 100,000 people could lose access to comprehensive primary and preventive care at community health centers as a result of approved Medicaid work requirement programs, according to a recent analysis by the Geiger Gibson/RCHN Community Health Foundation Research Collaborative at the George Washington University Milken Institute School of Public Health (GW Milken Institute SPH).

The analysis presents estimates of the impact of Medicaid work experiments and the spillover consequences for health centers and the wider communities they serve. The estimates focus on seven states: Arizona, Indiana, Ohio and Michigan, as well as updated estimates for Arkansas. It also includes estimates reported earlier for Kentucky and New Hampshire.

Across these seven states, the analysis shows that between 120,000 to 169,000 adult health center patients insured through Medicaid could be expected to lose their coverage during the initial experiment year. As a result of declining Medicaid coverage, health centers in these states could lose $89 million to $125 million in revenue, which could reduce patient care capacity in health centers by 104,000 to 147,000 patients and staffing by between 815 and 1,145 full-time equivalent staff.

“This study shows how allowing states to build poorly designed and needless barriers to Medicaid coverage can hurt not only individuals but entire community health systems,” said Ms. Sara Rosenbaum,  the Harold and Jane Hirsh Professor of Health Law and Policy at Milken Institute SPH and one of the authors of the report.

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