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Publications by Habib Moody for Health Policy Center
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Using Past Income Data to Verify Current Medicaid Eligibility (Research Report)
Stan Dorn, Matthew Buettgens, Christopher Hildebrand, Habib Moody
Using data from the 2008 Survey of Income and Program Participation, we find that information about past income and employment that is available to state Medicaid programs can potentially verify (a) initial financial eligibility for between 55 and 79 percent of eligible applicants and (b) renewed eligibility for between 60 and 71 percent of eligible enrollees. Verifying eligibility based on data matches, rather than documentation from consumers, could lower administrative costs; cut paperwork burdens for consumers, thereby increasing participation levels among those who qualify for help; and prevent eligibility errors.
Access to Employer-Sponsored Insurance and Subsidy Eligibility in Health Benefits Exchanges: Two Data-Based Approaches (Research Report)
Matthew Buettgens, Stan Dorn, Habib Moody
Consumers offered employer-sponsored insurance (ESI) can be ineligible for subsidies in health insurance exchanges (HIX). Until better ESI data become available, HHS proposes using post-enrollment audits, rather than pre-enrollment verification for this eligibility requirement. Using the Health Insurance Policy Simulation Model (HIPSM), we find that more than 70 percent of eligible consumers work for firms that do not sponsor ESI. HIXes could thus avoid the need to audit them by developing databases that show which employers sponsor ESI. Alternatively, HIXes could target non-ESI recipients for audits based on HIPSM results that show their relative likelihood of being offered ESI.
Medicaid Expansion Options for Washington (Research Report)
Matthew Buettgens, Randall R. Bovbjerg, Habib Moody
While upholding the Affordable Care Act, the Supreme Court ruled that states could opt out of the Medicaid expansion without losing existing federal funding. In this report, we analyze Medicaid enrollment and costs for Washington under a full expansion to 138% FPL, expansion to 100% FPL, and no Medicaid expansion. By 2020, a full expansion would lead to 256,000 more adults and 16,000 more children enrolled than with no expansion. This would lead to $2.1 billion more in total spending on Medicaid. However, the difference in the state share would only be $115 million. Savings in uncompensated care could offset this increase.
The ACA Medicaid Expansion in Washington (Research Report)
Matthew Buettgens, Randall R. Bovbjerg, Caitlin Carroll, Habib Moody
Full implementation of the Affordable Care Act (ACA) will add some 330,000 people to the Medicaid rolls in Washington state and a much smaller number for the Children's Health Insurance Program (CHIP). The state’s cost per new enrollee will be low, however, when compared with current enrollees. The new enrollees are projected to be younger and healthier, and the ACA's new eligible will require a much lower state contribution -- down from 50 percent of medical spending to zero percent initially, rising to 10 percent over time. These are the key findings among numerous projections, which combined the results of prior Urban Institute microsimulation of coverage choices and health care costs with the large population sample of the Washington State Population Survey.