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How Do Employment Outcomes of Medicaid Buy-In Participants Vary Based on Prior Medicaid Coverage? An Example from Massachusetts


Author Info

  • Marsha Langer Ellison
  • Mihail Samnaliev
  • Alexis D. Henry
  • Jody Schimmel Beauchamp
  • Annette Shea
  • Jay Himmelstein
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    The Medicaid Buy-In program is a key component of the federal effort to help people with disabilities work without fear of losing health coverage. The program enables participants to "buy into" Medicaid even if their income is too high for other Medicaid eligibility categories. A new brief, the eighth in a series on working with disability, looks at the employment outcomes of participants in Massachusetts's Buy-In program, known as CommonHealth Working (CHW). The brief examines differences in post-enrollment employment rates; monthly hours worked and earnings; and private health insurance coverage between new CHW enrollees previously covered by MassHealth, Massachusetts's Medicaid program, and those without prior MassHealth coverage. The brief also compares outcomes for a year before and after CHW enrollment for a subset of participants with prior MassHealth coverage who had been enrolled in CHW continuously for at least 12 months. The average employment rate among these participants rose sharply after CHW enrollment—from 36 percent in the 12 months prior to enrollment to 86 percent in the 12 months after enrollment. As a result, average monthly earnings increased 140 percent, average hours worked rose by 150 percent, and more were covered by private health insurance.

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    Bibliographic Info

    Paper provided by Mathematica Policy Research in its series Mathematica Policy Research Reports with number 6051.

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    Length: 4
    Date of creation: 30 Oct 2008
    Date of revision:
    Handle: RePEc:mpr:mprres:6051

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    Postal: Mathematica Policy Research P.O. Box 2393 Princeton, NJ 08543-2393 Attn: Communications
    Fax: (609) 799-0005
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    Related research

    Keywords: Working with Disability; Medicaid Buy-In; Employment; Massachusetts;

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