The majority (56 percent) of the study participants were working.
(Methodology and participant characteristics are included in appendices.)
Emotions like long-term stress, depression, and shame can have detrimental effects on health.
Before gaining Medicaid coverage, many midlife adults in the study experienced negative emotions related to being uninsured.
In 2017, 11 percent of adults on Medicaid were unable to work because of an illness or disability.
The report concludes with a set of policy recommendations:
1.
States that have not enacted Medicaid expansions should do so as soon as possible.
States should reject the federal governments offer to seek section 1115 waivers to cap federal Medicaid funding.
All levels of government and the provider community should conduct robust campaigns to promote enrollment in Medicaid expansions.
That decision is now pending appeal.
It assessed familiarity, satisfaction, and plan switching.
