Medicaid Demonstrations and Impacts on Health Coverage: A Review of the Evidence


This issue brief examines the effects on coverage and access to care of policies in four major areas of state Medicaid section 1115 demonstrations:

  1. Work requirements (also referred to as “community engagement”),
  2. Healthy behavior incentive programs,
  3. Health savings account-like arrangements, and
  4. Capped federal funding and other financing changes.

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"Medicaid Demonstrations and Coverage Impacts Issue Brief" (pdf, 746.57Kb)

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