Methods We compared three states that substantially expanded adult Medicaid eligibility since 2000 (New York, Maine, and Arizona) with neighboring states without expansions. The sample consisted of adults between the ages of 20 and 64 years who were observed 5 years before and after the expansions, from 1997 through 2007. Esercizi Di Scienza Delle Costruzioni Pdf To Jpg. The primary outcome was all-cause county-level mortality among 68,012 year- and county-specific observations in the Compressed Mortality File of the Centers for Disease Control and Prevention.

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Secondary outcomes were rates of insurance coverage, delayed care because of costs, and self-reported health among 169,124 persons in the Current Population Survey and 192,148 persons in the Behavioral Risk Factor Surveillance System. Results Medicaid expansions were associated with a significant reduction in adjusted all-cause mortality (by 19.6 deaths per 100,000 adults, for a relative reduction of 6.1%; P=0. Vodafone Wifi Key Share. 001). Mortality reductions were greatest among older adults, nonwhites, and residents of poorer counties. Expansions increased Medicaid coverage (by 2.2 percentage points, for a relative increase of 24.7%; P=0.01), decreased rates of uninsurance (by 3.2 percentage points, for a relative reduction of 14.7%; P. Figure 1 Unadjusted Mortality and Rates of Medicaid Coverage among Nonelderly Adults before and after State Medicaid Expansions (1997–2007). The vertical line represents the year during which the Medicaid expansions were implemented, meaning that year 1 was the first full year after the expansions (2002 for Arizona and New York and 2003 for Maine). In unadjusted models, the expansions were associated with a significant decrease in all-cause mortality in expansion states, as compared with control states (−25.4 deaths per 100,000 population; 95% confidence interval [CI], −46.0 to −4.8; P=0.02) (Panel A) and a significant increase in Medicaid coverage (by 2.2 percentage points; 95% CI, 0.7 to 3.7; P=0.01) (Panel B).