Collector - October 2016 - 10

FYI $100 Average per capita collections decline in counties most affected by the Medicaid expansion in 2015. Source: Federal Reserve Bank of New York Liberty Street Economics blog STATE MEDICAID EXPANSION EXPANDED NOT EXPANDED The Financial Benefits of Medicaid Research shows Medicaid expansion reduces debt sent to collections. U .S. counties that expanded Medicaid since the implementation of the Affordable Care Act in the first quarter of 2014, and had a high uninsured rate before that time, experienced a decrease in debt sent to collection agencies, according to a recent study from researchers at the Federal Reserve Bank of New York. Fed analyst Nicole Dussault, economist Maxim Pinkovskiy and research officer Basit Zafar reviewed data from the Fed's Consumer Credit Panel, which includes financial indicators for consumers across the U.S. They used the total value of balances sent to a third-party collection agency within 12 months as a variable of interest. "Our findings are consistent with prior research that has provided evidence that health insurance is good for individual finances," they wrote in a blog post. They also noted that their analysis focuses only on the benefits of the Affordable Care Act expansion, not the associated costs. 10 As of March 2016, 19 states declined to expand Medicaid after the U.S. Supreme Court ruled the government could not mandate the expansion, according to the researchers. They reviewed data from the first quarter of 2009 to the fourth quarter of 2015. "Since the [Consumer Credit Panel] does not collect insurance status for its respondents, we aggregate our data to the county level," the researchers wrote. They matched each county with its uninsured rate in 2013. "The idea behind this methodology is that the expansion of Medicaid under the [Affordable Care Act] should have had a larger impact on counties that had a high uninsured rate prior to implementation," they wrote. "If Medicaid expansion indeed decreased collections, we should see collections fall the most in these highuninsurance-rate-counties." For example, counties with the highest uninsured rates in 2013 that expanded Medicaid had sharp decreases in their collection balances. The researchers divided counties into five uninsured rate quintiles with the fifth being the highest, at an average uninsured rate of 29.8 percent. The average rate in the first quintile of counties was 14.5 percent. "Collection balances decrease sharply for fifth quintile counties in Medicaid expansion states but continue their upward trend for fifth quintile counties in states that did not expand Medicaid," according to the report. "By the fourth quarter of 2015 ... on average, collections declined by more than $100 per capita in the counties most affected by the Medicaid expansion relative to less affected counties. This is a sizable decline, given that the mean of collection balances over our sample period is $280 (and the standard deviation is $186.)" The researchers concluded that early evidence suggests the Medicaid expansion is "fulfilling the goal of health insurance, providing peace of mind by protecting against financial hardship." ACAINTERNATIONAL.ORG http://www.ACAINTERNATIONAL.ORG

Table of Contents for the Digital Edition of Collector - October 2016

President’s Page
Industry News
Best Practices
FYI
Collection Tips
Connect the Dots
Looking Deeper
Head of the Class
Calendar
Honor Roll
The Formula of Five
How to Create Winning Bids and Proposals
A Running Start
ACPAC Election Watch
ACA’s Industry Advancement Program Aids Eleventh Circuit Win for Member Company
Compliance
ACA SearchPoint
Last Word
Collector - October 2016 - Cover1
Collector - October 2016 - Cover2
Collector - October 2016 - 1
Collector - October 2016 - 2
Collector - October 2016 - President’s Page
Collector - October 2016 - Industry News
Collector - October 2016 - 5
Collector - October 2016 - 6
Collector - October 2016 - 7
Collector - October 2016 - Best Practices
Collector - October 2016 - 9
Collector - October 2016 - FYI
Collector - October 2016 - 11
Collector - October 2016 - Collection Tips
Collector - October 2016 - 13
Collector - October 2016 - Connect the Dots
Collector - October 2016 - 15
Collector - October 2016 - 16
Collector - October 2016 - 17
Collector - October 2016 - 18
Collector - October 2016 - 19
Collector - October 2016 - Looking Deeper
Collector - October 2016 - 21
Collector - October 2016 - 22
Collector - October 2016 - 23
Collector - October 2016 - Head of the Class
Collector - October 2016 - 25
Collector - October 2016 - 26
Collector - October 2016 - 27
Collector - October 2016 - Calendar
Collector - October 2016 - Honor Roll
Collector - October 2016 - The Formula of Five
Collector - October 2016 - 31
Collector - October 2016 - How to Create Winning Bids and Proposals
Collector - October 2016 - 33
Collector - October 2016 - 34
Collector - October 2016 - 35
Collector - October 2016 - A Running Start
Collector - October 2016 - 37
Collector - October 2016 - 38
Collector - October 2016 - 39
Collector - October 2016 - ACPAC Election Watch
Collector - October 2016 - 41
Collector - October 2016 - ACA’s Industry Advancement Program Aids Eleventh Circuit Win for Member Company
Collector - October 2016 - 43
Collector - October 2016 - Compliance
Collector - October 2016 - 45
Collector - October 2016 - ACA SearchPoint
Collector - October 2016 - 47
Collector - October 2016 - Last Word
Collector - October 2016 - Cover3
Collector - October 2016 - Cover4
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