1 / 5

Homeless and nonhomeless VA service users likely eligible for Medicaid expansion

Homeless and nonhomeless VA service users likely eligible for Medicaid expansion. Jack Tsai, PhD; Robert A. Rosenheck, MD. Aim Use administrative data on 2010 VA service users to: Estimate how many homeless and nonhomeless VA service users may be eligible for 2014 Medicaid expansion (LEME).

sara-casey
Download Presentation

Homeless and nonhomeless VA service users likely eligible for Medicaid expansion

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Homeless and nonhomeless VA service users likely eligible for Medicaid expansion Jack Tsai, PhD; Robert A. Rosenheck, MD

  2. Aim • Use administrative data on 2010 VA service users to: • Estimate how many homeless and nonhomeless VA service users may be eligible for 2014 Medicaid expansion (LEME). • Compare LEME and not LEME by homeless status on sociodemographic characteristics and medical and psychiatric diagnoses. • Relevance • Results will estimate VA service users to be affected by Affordable Care Act’s (ACA’s) Medicaid expansion and explore their characteristics and health needs.

  3. Method • Analyzed administrative data on 3.8 million VA service users under age 65 in 2010 to identify number and characteristics of those who are homeless vs nonhomeless and LEME.

  4. Results • 1.2 million (21%) VA services users are LEME if all states implement expansion. • Homeless service users twice as likely to be LEME than nonhomeless users (64% vs 30%). • Both homeless and nonhomeless LEME VA service users were physically healthier but more likely to have substance use disorders and posttraumatic stress disorder than those not LEME.

  5. Conclusion • Many VA service users are LEME, particularly those who are homeless and/or have mental health needs. • Cross-system use of VA and Medicaid-funded services may be advantageous for veterans with extensive medical and psychiatric needs but also risks fragmented care. • Information and education for VA clinicians and patients about possible implications of ACA are important.

More Related