"Medicaid expansion increased the probability of having 'any insurance' for the pooled urban and rural low-income populations, and it specifically increased Medicaid coverage more in rural versus urban populations," says the study. "There was some evidence that the expansion was accompanied by some shifting from individual purchased insurance to Medicaid in rural areas, and there is a need for future work to understand the implications of this shift on expenditures, access to care and utilization."
Results suggested "that rural childless adults, compared to urban childless adults, experienced a 1.9-percentage-point larger increase in the probability of having Medicaid as a result of the expansion," says the study. "Rural childless adults experienced a 1.5 percentage point larger decline in the probability of having individual purchased insurance. (IU graphic)