Eligibility Transitions under the Affordable Care Act: Policy Considerations for Ensuring Coverage Continuity Among Rural Residents

Research center:
Lead researcher:
Project funded:
September 2012
Anticipated completion date:
April 2018

The Affordable Care Act's effectiveness in ensuring coverage stability and minimizing disruptions depends, in part, on how states prepare for movement between their Exchanges and Medicaid programs. Evidence indicates that even small lapses in health insurance coverage can affect access to health care services. In addition, the issue of churning between programs can lead to greater administrative costs for states.

To the extent that rural residents are more likely to experience eligibility fluctuations, this could be a particular problem for states with large rural populations. This study will use the 2008 panel of the Survey of Income and Program Participation (SIPP) to compare rural-urban rates of income transitions within and across calendar years and identify the characteristics associated with any differences. Products will include a policy brief and journal article submission designed to aid policymakers in considering how best to minimize insurance transitions for rural residents.