The passage of the Patient Protection and Affordable Care
Act (ACA) and adoption of Medicaid expansion was associated with substantial
increases in insurance coverage across the United States (see Changes
in coverage and access, MACPAC 2019). However, RTC:Rural
researchers wanted to know how ACA policy changes and Medicaid expansion impacted
people with disabilities, particularly those who live in rural areas.
To explore this question, RTC:Rural researchers analyzed
microdata from the 2008-2013 American Community Survey
Using these data, they were able to compare how insurance coverage has changed
over time for people with and without disabilities in rural and urban places,
and in expansion and non-expansion states.
On April 23, Dr. Meredith Repke, RTC:Rural Research
Associate, will present findings from the Rural
Access to Health Insurance and Health Care study, a partnership
between RTC:Rural and the Collaborative on Health Reform and Independent Living
(CHRIL), at the 2019 NARRTC conference.
This year’s conference theme is “Inclusive Disability Research and Practice:
Building on our History.” The study is being led by RTC:Rural Director Dr.
Repke is presenting as part of a panel of researchers on the
project who are sharing different findings from the 2018 National Survey on
Health Reform and Disability (NSHRD). CHRIL conducted the survey to understand
how changes in health care reimbursement strategies affect working-age people
with disabilities in terms of access to health insurance, as well as associated
health care and quality of life outcomes. RTC:Rural researchers helped recruit
people with disabilities from rural areas, and will use their data to answer
some rural-specific questions.