Health Insurance Literacy and Support for the ACA Medicaid Expansion PDF
By:Julia Mears Embry
Published on 2018 by
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Health insurance literacy in the United States has been increasing over the last ten years, due in large part to government enrollment outreach efforts and media coverage of the design and implementation of the Affordable Care Act (ACA). However, there is not a substantial amount of research into whether an increased understanding of health insurance is correlated with a change in political opinion, in this case specifically the expansion of the Medicaid program under the ACA. This thesis uses data from the Health Reform Monitoring Survey (HRMS), administered by the Urban Institute, to examine how opinion on Medicaid expansion at the state-level is related to level of health insurance literacy. For this research, an ordinary least squares (OLS) regression was used, with level of support or opposition of Medicaid expansion in a respondent's state as the dependent variable, and health insurance literacy as the primary independent variable. The model additionally controls for the sample's demographic makeup, education, income, MSA status, and source of health insurance coverage. The result was that the two variables of interest had a statistically significant positive correlation, showing that a 1 point increase in health insurance literacy is associated with a 4 percentage point increase in the likelihood that a respondent supports Medicaid expansion under the ACA. These results have significant ramifications for the future of the Medicaid program and for health insurance policymakers seeking to boost public support for their initiatives.
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