@article {722166,
	title = {Survey-Reported Coverage in 2019-2022 and Implications for Unwinding Medicaid Continuous Eligibility},
	journal = {JAMA Health Forum},
	volume = {5},
	number = {4},
	year = {2024},
	pages = {e240430},
	abstract = {
	Question\&nbsp;\&nbsp;How did survey-based coverage rates change during the COVID-19 pandemic, and how did these changes compare with growth in administrative Medicaid enrollment during this period?



	Findings\&nbsp;\&nbsp;In this cross-sectional study, administrative statistics showed an increase in Medicaid coverage between 2019 and 2022 of 5.2 percentage points as a share of the population. However, changes in the uninsured rate and survey-reported Medicaid were much smaller (-1.2 and 1.3 percentage points, respectively) during this same period.



	Meaning\&nbsp;\&nbsp;Many people who remained enrolled in Medicaid under the federal continuous coverage provision during the pandemic did not realize that their coverage had continued.

},
	url = {https://jamanetwork.com/journals/jama-health-forum/fullarticle/2817285},
	author = {Adrianna McIntyre and Rebecca B. Smith and Benjamin D. Sommers}
}
@article {719041,
	title = {Medicare Eligibility and Reported Support for Proposals to Expand Medicare},
	journal = {JAMA},
	year = {2024},
	url = {https://jamanetwork.com/journals/jama/article-abstract/2815256},
	author = {Nolan Kavanaugh and Andrea Campbell and Adrianna McIntyre}
}
@article {716546,
	title = { Small Marketplace Premiums Pose Financial And Administrative Burdens: Evidence From Massachusetts, 2016{\textendash}17},
	journal = {Health Affairs},
	volume = {43},
	number = {1},
	year = {2024},
	pages = {80-90},
	abstract = {Health insurance premiums are primarily understood to pose financial barriers to coverage. However, the need to remit monthly premium payments may also create administrative burdens that negatively affect coverage, even in cases where affordability is a negligible concern. Using 2016{\textendash}17 data from the Massachusetts health insurance Marketplace and a natural experiment, we evaluated how coverage retention was affected by the introduction of nominal (less than $10 for most enrollees) monthly premiums for plans that previously had $0 premiums. Compared with plans that maintained $0 premiums, those that took on nominal premiums saw enrollment fall by 14 percent over the following year. This attrition was attributable to terminations for nonpayment; most terminations occurred at the end of January, implying that a significant number of affected enrollees never initiated premium payments. These findings suggest that even very small premiums act as enrollment barriers, which may sometimes reflect administrative burdens more than financial hardship. Several policy approaches could mitigate adverse coverage outcomes related to nominal premiums.},
	url = {https://www.healthaffairs.org/doi/abs/10.1377/hlthaff.2023.00649},
	author = {Adrianna McIntyre and Mark Shepard and Timothy J. Layton}
}
@article {713016,
	title = {Medicaid by Any Other Name? Investigating Malleability of Partisan Attitudes Toward the Public Program},
	journal = {Journal of Health Politics, Policy, and Law},
	year = {2023},
	abstract = {
	Context:\&nbsp;Medicaid is the largest health insurance program by enrollment in the United States. The program varies across states across a variety of dimensions, including what it{\textquoteright}s called; some states use state-specific naming conventions (e.g., MassHealth in Massachusetts).



	Methods:\&nbsp;In a pre-registered online survey experiment (n = 5,807), we test whether public opinion shifts in response to the use of state-specific Medicaid program names or the provision of information about program enrollment.



	Findings:\&nbsp;We find that replacing {\textquotedblleft}Medicaid{\textquotedblright} with a state-specific name results in a large increase in the share of respondents reporting that they {\textquotedblleft}haven{\textquoteright}t heard enough to say{\textquotedblright} how they feel about the program. This corresponds to a decrease in both favorable and unfavorable attitudes toward the program. Though confusion increases among all partisan groups, there is evidence that the state-specific names may also strengthen positive perceptions among Republicans. Providing enrollment information generally does not affect public opinion.



	Conclusions:\&nbsp;Our findings offer suggestive evidence that state-specific program names may muddle understanding of the program as a government-provided benefit. Policymakers seeking to bolster support for the program or claim credit for expanding or improving it may be better served simply referring to it as {\textquotedblleft}Medicaid.{\textquotedblright}

},
	url = {https://read.dukeupress.edu/jhppl/article/doi/10.1215/03616878-11066320/383875/Medicaid-by-Any-Other-Name-Investigating},
	author = {Adrianna McIntyre and Josh McCrain and Danielle Pavliv}
}
@article {713161,
	title = {Preliminary Data on {\textquotedblleft}Unwinding{\textquotedblright} Continuous Medicaid Coverage},
	journal = {New England Journal of Medicine},
	year = {2023},
	url = {https://www.nejm.org/doi/full/10.1056/NEJMp2311336},
	author = {Adrianna McIntyre and Gabriella Aboulafia and Benjamin D. Sommers}
}
@article {700656,
	title = {Insurance Coverage Transitions After Disenrollment From Medicaid in Minnesota},
	journal = {JAMA Network Open},
	volume = {6},
	number = {4},
	year = {2023},
	url = {https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2804103},
	author = {Chris Frenier and Adrianna McIntyre}
}
@article {697466,
	title = {Popular{\textellipsis} to a Point: The Enduring Political Challenges of the Public Option},
	journal = {Milbank Quarterly},
	volume = {101},
	number = {1},
	year = {2023},
	url = {https://www.milbank.org/quarterly/articles/popular-to-a-point-the-enduring-political-challenges-of-the-public-option/},
	author = {Adrianna McIntyre and Robert J. Blendon and Benson, John M. and Mary G. Findling and Schneider, Eric C.}
}
@workingpaper {697672,
	title = {Reducing Administrative Barriers Increases Take-up of Subsidized Health Insurance Coverage: Evidence from a Field Experiment},
	year = {2023},
	abstract = {Administrative barriers to social insurance program take-up are pervasive, including in subsidized health insurance. We conducted a randomized controlled trial with Massachusetts{\textquoteright} Affordable Care Act marketplace to reduce these barriers and other behavioral frictions. We find that a {\textquotedblleft}check the box{\textquotedblright} streamlined enrollment intervention raises enrollment by 11\%, more than personalized reminder letters (7.9\% increase) or generic reminder letters (4.5\% increase). Effects are concentrated among individuals eligible for zero-premium plans, who faced no further administrative burdens of setting up payments. Producing this enrollment effect through premium reduction would cost about $6 million in subsidies, highlighting the importance of these burdens.},
	url = {https://www.nber.org/papers/w30885},
	author = {Keith M. Ericson and Timothy Layton and Adrianna McIntyre and Adam Sacarny}
}
@article {695435,
	title = {Evidence-Based Outreach Strategies for Minimizing Coverage Loss During Unwinding},
	journal = {JAMA Health Forum},
	volume = {3},
	number = {10},
	year = {2022},
	url = {https://jamanetwork.com/journals/jama-health-forum/fullarticle/2797466},
	author = {Adrianna McIntyre}
}
@article {689398,
	title = {Turnover in Zero-Premium Status Among Health Insurance Marketplace Plans Available to Low-Income Enrollees},
	journal = {JAMA Health Forum},
	volume = {3},
	number = {4},
	year = {2022},
	url = {https://jamanetwork.com/journals/jama-health-forum/fullarticle/2791516},
	author = {Edward Kong and Mark Shepard and Adrianna McIntyre}
}
@article {686468,
	title = {Automatic Insurance Policies {\textemdash} Important Tools for Preventing Coverage Loss},
	journal = {New England Journal of Medicine},
	year = {2022},
	abstract = {Policies that broaden eligibility for affordable coverage, though necessary, do little to address the administrative burdens involved in securing and maintaining coverage. Automatic insurance policies could remove barriers and make it easier for people to stay insured.},
	author = {Adrianna McIntyre and Mark Shepard}
}
@article {677693,
	title = {Can Automatic Retention Improve Health Insurance Market Outcomes?},
	journal = {AEA Papers and Proceedings},
	year = {2021},
	abstract = {There is growing interest in market design using default rules and other "choice architecture" principles to steer consumers toward desirable outcomes. Using data from Massachusetts{\textquoteright}s health insurance exchange, we study an "automatic retention" policy intended to prevent coverage interruptions among low-income enrollees. Rather than disenroll people who lapse in paying premiums, the policy automatically switches them to an available free plan until they actively cancel or lose eligibility. We find that automatic retention has a sizable impact, switching 14 percent of consumers annually and differentially retaining healthy, low-cost individuals. The results illustrate the power of defaults to shape insurance coverage outcomes.},
	author = {Adrianna McIntyre and Mark Shepard and Myles Wagner}
}
@article {665867,
	title = {Measuring Coverage Rates in a Pandemic: Policy and Research Challenges},
	journal = {JAMA Health Forum},
	year = {2020},
	abstract = {The historic job losses accompanying the coronavirus disease 2019 (COVID-19) pandemic have raised concerns that the number of uninsured US residents will increase substantially in 2020{\textemdash}but there are no official real-time mechanisms for tracking the nation{\textquoteright}s uninsured rate. Unlike assessing unemployment claims or Medicaid enrollment, measuring the overall share of people without insurance relies on time-consuming and imperfect household surveys. Understanding the limitations of the available data is especially critical during a fast-changing health and economic crisis like the current one.},
	url = {https://jamanetwork.com/channels/health-forum/fullarticle/2772401},
	author = {Adrianna McIntyre and Matthew W. Brault and Benjamin D. Sommers}
}
@article {663095,
	title = {The Affordable Care Act{\textquoteright}s Missing Consensus: Values, Attitudes, and Experiences Associated with Competing Health Reform Preferences},
	journal = {Journal of Health Politics, Policy, and Law},
	volume = {45},
	number = {5},
	year = {2020},
	pages = {729{\textendash}755},
	abstract = {Ten years after its enactment, public support for the Affordable Care Act (ACA) still only reaches a scant majority. Candidates for the presidency{\textemdash}and the sitting president{\textemdash}have endorsed health reforms that would radically transition US health care away from the current system upon which the ACA was built. Few opinion surveys to date have captured dominant preferences among alternative health reform policies or characterized attitudes and experiences that might be associated with policy preferences. Using a 2019 nationally representative telephone survey, this article considers how variations in political values, attitudes toward government, and experiences with the health care system relate to competing health reform preferences. Differences between those who favor Medicare for All over building on the ACA largely reflect different levels of satisfaction with the status quo and views of private health insurance. By contrast, differences between ACA supporters and those who would favor replacing it with a state-based alternative reflect sharply different political values and attitudes. Key differences remain significant after controlling for demographic, health, and political characteristics. Overwhelming public support still eludes the ACA, and reaching consensus on future directions for health reform will remain challenging given differences in underlying beliefs.},
	url = {https://read.dukeupress.edu/jhppl/article/45/5/729/165992/The-Affordable-Care-Act-s-Missing-Consensus-Values},
	author = {Adrianna McIntyre and Robert J. Blendon and Benson, John M. and Mary G. Findling and Schneider, Eric C.}
}
@article {645316,
	title = {The US Affordable Care Act: Reflections and directions at the close of a decade},
	journal = {PLOS Medicine},
	volume = {16},
	number = {2},
	year = {2019},
	abstract = {Nearly nine years after its passage, the Affordable Care Act (ACA) remains at the forefront of public policy debate. The law is persistently contentious as a matter of public opinion, but represents a historic achievement in United States healthcare reform. While it was incremental in many respects{\textemdash}health insurance plans for the vast majority of Americans were relatively unchanged{\textemdash}the ACA left an indelible mark on the healthcare system through its expansion of insurance coverage and efforts to improve the healthcare delivery system. In the past decade, the country has witnessed a substantial decline in the number of uninsured individuals, while other elements of the law have sought to make inroads into affecting the cost and quality of care. Yet looking forward, the ACA continues to face challenges that make its abiding impact and legacy uncertain.},
	url = {https://doi.org/10.1371/journal.pmed.1002752},
	author = {Adrianna McIntyre and Zirui Song}
}
@article {645324,
	title = {Small Change, Big Consequences {\textemdash} Partial Medicaid Expansions under the ACA},
	journal = {New England Journal of Medicine},
	number = {377},
	year = {2017},
	pages = {1004-1006},
	abstract = {The Trump administration may decide to permit states to partially expand their Medicaid programs to cover people with incomes up to 100\% of the federal poverty level. Arkansas has requested a waiver to do so, and if it is granted, other states may follow suit.},
	url = {10.1056/NEJMp1710265},
	author = {Adrianna McIntyre and Allan M. Joseph and Nicholas Bagley}
}
@article {645325,
	title = {The Dubious Empirical and Legal Foundations of Wellness Programs},
	journal = {Health Matrix: The Journal of Law-Medicine},
	volume = {27},
	number = {1},
	year = {2017},
	abstract = {The article offers information on the dubious empirical and legal foundations of workplace wellness programs in the U.S. Topics discussed include enactment of Affordable Care Act for expanding the scope of incentives availas; analysis of financial incentives offered to the employees for encouraging their participation in wellness programs; and targeting incentives specifically toward individuals diagnosed with chronic diseases.},
	url = {https://scholarlycommons.law.case.edu/healthmatrix/vol27/iss1/4/},
	author = {Adrianna McIntyre and Nicholas Bagley and Austin Frakt and Aaron Carroll}
}
