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Rural populations may experience uneven effects of Medicaid expansion

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While some studies have found that Medicaid expansion reduces overall mortality rates in states where it has been adopted, a recent study published in the Journal of Rural Health looks more closely at mortality rates in specific populations. This study points to complex factors that may affect mortality differently depending on race, ethnicity, sex and geography.


The study showed that Medicaid expansion led to a reduction in all-cause age-adjusted mortality for urban Black populations, but not rural Black populations. Urban white populations experienced mixed effects depending on how many years had passed since Medicaid expansion. Latino populations saw no appreciable impact. While no effect was observed for rural Black and Latino populations, rural white all-cause age-adjusted mortality unexpectedly increased due to Medicaid expansion. These effects reduced rural- and urban-specific mortality disparities among Black and white populations but did not shrink the rural-urban mortality gap.

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