Administrative Easing: Rule Reduction and Medicaid Enrollment.
Saved in:
| Title: | Administrative Easing: Rule Reduction and Medicaid Enrollment. |
|---|---|
| Authors: | Fox, Ashley M.1 (AUTHOR) afox3@albany.edu, Stazyk, Edmund C.1 (AUTHOR) estazyk@albany.edu, Feng, Wenhui2 (AUTHOR) wenhui.feng@tufts.edu |
| Source: | Public Administration Review. Jan2020, Vol. 80 Issue 1, p104-117. 14p. 4 Charts, 1 Graph. |
| Subject Terms: | *Eligibility (Social aspects), Medicaid, Patient Protection & Affordable Care Act, Behavioral economics, Public administration |
| Geographic Terms: | United States |
| Abstract: | Administrative burden is widely recognized as a barrier to program enrollment, denying legal entitlements to many potentially eligible individuals. Building on recent research in behavioral public administration, this article examines the effect of voluntary state reductions in administrative burden (administrative easing) on Medicaid enrollment rates using differential implementation of the Affordable Care Act. Using a novel data set that includes state‐level data on simplified enrollment and renewal procedures for Medicaid from 2008 to 2017, the authors examine how change in Medicaid enrollment is conditioned by the adoption of rule‐reduction procedures. Findings show that reductions in the administrative burden required to sign up for Medicaid were associated with increased enrollments. Real‐time eligibility and reductions in enrollment burden were particularly impactful at increasing enrollment for both children and adults separate from increases in Medicaid income eligibility thresholds. The results suggest that efforts to ease the cognitive burden of enrolling in entitlement programs can improve take‐up. [ABSTRACT FROM AUTHOR] |
| Copyright of Public Administration Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
|
Full text is not displayed to guests.
Login for full access.
|
|
| Abstract: | Administrative burden is widely recognized as a barrier to program enrollment, denying legal entitlements to many potentially eligible individuals. Building on recent research in behavioral public administration, this article examines the effect of voluntary state reductions in administrative burden (administrative easing) on Medicaid enrollment rates using differential implementation of the Affordable Care Act. Using a novel data set that includes state‐level data on simplified enrollment and renewal procedures for Medicaid from 2008 to 2017, the authors examine how change in Medicaid enrollment is conditioned by the adoption of rule‐reduction procedures. Findings show that reductions in the administrative burden required to sign up for Medicaid were associated with increased enrollments. Real‐time eligibility and reductions in enrollment burden were particularly impactful at increasing enrollment for both children and adults separate from increases in Medicaid income eligibility thresholds. The results suggest that efforts to ease the cognitive burden of enrolling in entitlement programs can improve take‐up. [ABSTRACT FROM AUTHOR] |
|---|---|
| ISSN: | 00333352 |
| DOI: | 10.1111/puar.13131 |
