New Ohio Evaluation of Medicaid Expansion: Helps Enrollees Work

From one of West Virginia Together for Medicaid's national partners, Community Catalyst

2018 Ohio Medicaid Group VIII (Medicaid Expansion Population) Assessment – This August 2018 report (executive summary here) from the Ohio Department of Medicaid highlights how Medicaid expansion has positively impacted enrollees (sometimes referred to as “Group VIII”). The findings show that Medicaid helps people to get and stay healthy, and provides family stability, employment opportunity, and financial security.

Of particular note are the 290,000 people who received Medicaid benefits post-expansion that have since left the rolls because they were started working or began earning more. Most of the recipients told the state that having insurance helped them find or keep their job. Some additional findings:

  • Family Stability- More than three-fourths (75.7%) of the continuously enrolled expansion population studied who are family caregivers reported that Medicaid made it easier for them to care for their family member(s), as did more than four-fifths of parents (81.6%).
  • Employment Opportunity- A large majority of employed Medicaid expansion enrollees (83.5%) reported that Medicaid made it easier to work; most unemployed enrollees (60.0%) reported that Medicaid made it easier to look for work. Many Group VIII enrollees reported that Medicaid made it easier to work because they were able to obtain care for previously untreated health conditions. In the words of one enrollee: “[Medicaid] allows me to get surgery which has allowed me to return to work.”
  • Physical Health- When asked what Medicaid meant to them, 35.7% of survey respondents specifically mentioned either their health or access to care. In the words of one respondent: “If it wasn’t for Medicaid, I would not have been able to pay for surgery that was needed for a heart condition I was born with.”
  • Health Risk Behaviors- More than one third (37.0%) of Medicaid expansion enrollees who quit smoking in the last two years said that Medicaid helped them to quit.  This translates to approximately 26,000 Ohioans.
West Virginians Together for Medicaid