Attributing Racial Differences in Care to Health Plan Performance or Selection.

Importance: There is increased interest in public reporting of, and linking financial incentives to, the performance of organizations on health equity metrics, but variation across organizations could reflect differences in performance or selection bias.

Objective: To assess whether differences across health plans in sex- and age-adjusted racial disparities are associated with performance or selection bias.

Design, Setting, And Participants: This cross-sectional study leveraged a natural experiment, wherein a southern US state randomly assigned much of its Medicaid population to 1 of 5 plans after shifting to managed care in 2012.

Supplemental Nutrition Assistance Program Work Requirements and Safety-Net Program Participation.

Importance: Work requirements are a controversial feature of US safety-net programs, with some policymakers seeking to expand their use. Little is known about the demographic, clinical, and socioeconomic characteristics of individuals most likely to be negatively impacted by work requirements.

Objective: To examine the association between work requirements and safety-net program enrollment.

Long-Term Stability of Coverage Among Michigan Medicaid Beneficiaries : A Cohort Study.

Background: Medicaid, the primary source of insurance coverage for disadvantaged Americans, was originally designed as a temporary safety-net program. No studies have used long-run data to assess the recent use of the program by beneficiaries.

Objective: To assess patterns of short- and long-term enrollment among beneficiaries, using a 10-year longitudinal panel of Michigan Medicaid eligibility data.

Disparities in Health Care Spending and Utilization Among Black and White Medicaid Enrollees.

Importance: Administrative records indicate that more than half of the 80 million Medicaid enrollees identify as belonging to a racial and ethnic minority group. Despite this, disparities within the Medicaid program remain understudied. For example, we know of no studies examining racial differences in Medicaid spending, a potential measure of how equitably state resources are allocated.

Evaluation of the Association Between Medicare Eligibility and Excess Deaths During the COVID-19 Pandemic in the US.

This cross-sectional regression discontinuity analysis compares deaths slightly younger and older than 65 years to examine the relationship between access to health insurance coverage and COVID-19 mortality.