{"id":"https://openalex.org/W4388328170","doi":"https://doi.org/10.1080/15309576.2023.2270974","title":"Why Are Some States Reluctant to Implement the ACA Medicaid Expansion? Focusing on State Fiscal Capacity","display_name":"Why Are Some States Reluctant to Implement the ACA Medicaid Expansion? Focusing on State Fiscal Capacity","publication_year":2023,"publication_date":"2023-11-03","ids":{"openalex":"https://openalex.org/W4388328170","doi":"https://doi.org/10.1080/15309576.2023.2270974"},"language":"en","primary_location":{"id":"doi:10.1080/15309576.2023.2270974","doi":"https://doi.org/10.1080/15309576.2023.2270974","is_oa":false,"landing_page_url":"https://doi.org/10.1080/15309576.2023.2270974","pdf_url":null,"source":{"id":"https://openalex.org/S136809933","display_name":"Public Performance & Management Review","issn_l":"1530-9576","issn":["1530-9576","1557-9271"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-b","anvur-scientific","cwts-core","erih-plus","fnege-4","jufo-2","ki-jl-1","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Public Performance & Management Review","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W4388328170"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5044108298","display_name":"Shihyun Noh","orcid":"https://orcid.org/0000-0001-8018-5735","observed_orcids":["https://orcid.org/0000-0001-8018-5735"]},"institutions":[{"id":"https://openalex.org/I4864440","display_name":"SUNY Brockport","ror":"https://ror.org/0306aeb62","country_code":"US","type":"education","lineage":["https://openalex.org/I4864440"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Shihyun Noh","raw_affiliation_strings":["SUNY College at Brockport"],"raw_orcid":"https://orcid.org/0000-0001-8018-5735","affiliations":[{"raw_affiliation_string":"SUNY College at Brockport","institution_ids":["https://openalex.org/I4864440"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5048379679","display_name":"Ji Hyung Park","orcid":"https://orcid.org/0000-0002-8694-1180","observed_orcids":["https://orcid.org/0000-0002-8694-1180"]},"institutions":[{"id":"https://openalex.org/I141371507","display_name":"Soongsil University","ror":"https://ror.org/017xnm587","country_code":"KR","type":"education","lineage":["https://openalex.org/I141371507"]}],"countries":["KR"],"is_corresponding":true,"raw_author_name":"Ji Hyung Park","raw_affiliation_strings":["Soongsil University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Soongsil University","institution_ids":["https://openalex.org/I141371507"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5048379679"],"corresponding_institution_ids":["https://openalex.org/I141371507"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"47","issue":"3","first_page":"761","last_page":"783"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.989300012588501,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.989300012588501,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11461","display_name":"Local Government Finance and Decentralization","score":0.00279999990016222,"subfield":{"id":"https://openalex.org/subfields/3320","display_name":"Political Science and International Relations"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13387","display_name":"Politics, Economics, and Education Policy","score":0.0017999999690800905,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicaid-expansion","display_name":"Medicaid expansion","score":0.8899999856948853},{"id":"https://openalex.org/keywords/affordable-care-act","display_name":"Affordable Care Act","score":0.9769999980926514},{"id":"https://openalex.org/keywords/state-fiscal-capacity","display_name":"state fiscal capacity","score":0.9430000185966492},{"id":"https://openalex.org/keywords/state-policy-adoption","display_name":"state policy adoption","score":0.5920000076293945},{"id":"https://openalex.org/keywords/health-policy-implementation","display_name":"health policy implementation","score":0.5659999847412109},{"id":"https://openalex.org/keywords/state-budgeting","display_name":"state budgeting","score":0.3869999945163727}],"concepts":[{"id":"https://openalex.org/C2778215004","wikidata":"https://www.wikidata.org/wiki/Q1137437","display_name":"Solvency","level":3,"score":0.9398270845413208},{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.8972158432006836},{"id":"https://openalex.org/C48103436","wikidata":"https://www.wikidata.org/wiki/Q599031","display_name":"State (computer science)","level":2,"score":0.5486652255058289},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.4982931613922119},{"id":"https://openalex.org/C2776643233","wikidata":"https://www.wikidata.org/wiki/Q1414593","display_name":"Patient Protection and Affordable Care Act","level":4,"score":0.4469529390335083},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.4119570851325989},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.3708428740501404},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.37020450830459595},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3138437271118164},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.3068064749240875},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.1364724338054657},{"id":"https://openalex.org/C11413529","wikidata":"https://www.wikidata.org/wiki/Q8366","display_name":"Algorithm","level":1,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C183582576","wikidata":"https://www.wikidata.org/wiki/Q184783","display_name":"Market liquidity","level":2,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1080/15309576.2023.2270974","doi":"https://doi.org/10.1080/15309576.2023.2270974","is_oa":false,"landing_page_url":"https://doi.org/10.1080/15309576.2023.2270974","pdf_url":null,"source":{"id":"https://openalex.org/S136809933","display_name":"Public Performance & Management Review","issn_l":"1530-9576","issn":["1530-9576","1557-9271"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-b","anvur-scientific","cwts-core","erih-plus","fnege-4","jufo-2","ki-jl-1","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Public Performance & Management Review","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/16","display_name":"Peace, justice, and strong institutions","score":0.5473999977111816}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":71,"referenced_works":["https://openalex.org/W110134283","https://openalex.org/W342315424","https://openalex.org/W603049402","https://openalex.org/W619495595","https://openalex.org/W658158987","https://openalex.org/W1489752330","https://openalex.org/W1508116924","https://openalex.org/W1517380147","https://openalex.org/W1536559683","https://openalex.org/W1601290312","https://openalex.org/W1967030322","https://openalex.org/W1984297968","https://openalex.org/W1994062728","https://openalex.org/W1996021795","https://openalex.org/W2000684188","https://openalex.org/W2001764321","https://openalex.org/W2003477031","https://openalex.org/W2007342040","https://openalex.org/W2029724566","https://openalex.org/W2037922154","https://openalex.org/W2042743632","https://openalex.org/W2044018576","https://openalex.org/W2061225380","https://openalex.org/W2067410527","https://openalex.org/W2074781537","https://openalex.org/W2089981469","https://openalex.org/W2099761485","https://openalex.org/W2101171424","https://openalex.org/W2105468644","https://openalex.org/W2115506425","https://openalex.org/W2121355463","https://openalex.org/W2122903508","https://openalex.org/W2125132729","https://openalex.org/W2154218287","https://openalex.org/W2166452164","https://openalex.org/W2199513911","https://openalex.org/W2313563931","https://openalex.org/W2315419322","https://openalex.org/W2320920028","https://openalex.org/W2323031404","https://openalex.org/W2324015242","https://openalex.org/W2330017271","https://openalex.org/W2332281953","https://openalex.org/W2344330788","https://openalex.org/W2389245097","https://openalex.org/W2607422163","https://openalex.org/W2768394662","https://openalex.org/W2773725839","https://openalex.org/W2778838246","https://openalex.org/W2783651985","https://openalex.org/W2784976873","https://openalex.org/W2793137270","https://openalex.org/W2917147093","https://openalex.org/W2945564236","https://openalex.org/W2981332997","https://openalex.org/W2991686821","https://openalex.org/W3010059915","https://openalex.org/W3136820284","https://openalex.org/W3184906119","https://openalex.org/W3210316078","https://openalex.org/W4205283487","https://openalex.org/W4243496076","https://openalex.org/W4256069524","https://openalex.org/W4319780083","https://openalex.org/W4375945044","https://openalex.org/W4380764926","https://openalex.org/W4380767465","https://openalex.org/W4388174322","https://openalex.org/W6607896625","https://openalex.org/W6823982335","https://openalex.org/W7056853309"],"related_works":["https://openalex.org/W2344958493","https://openalex.org/W2337681033","https://openalex.org/W3208573178","https://openalex.org/W3087420293","https://openalex.org/W2588083372","https://openalex.org/W3149142946","https://openalex.org/W3124661871","https://openalex.org/W6903618300","https://openalex.org/W2337773839","https://openalex.org/W2989024784"],"abstract_inverted_index":{"This":[0],"study":[1],"considers":[2],"the":[3,24,73,102,115,118],"2010":[4],"Patient":[5],"Protection":[6],"and":[7,14,37,46,56,91],"Affordable":[8],"Care":[9],"Act":[10],"(ACA)":[11],"Medicaid":[12,39,82,119],"expansion":[13,25,83],"examines":[15],"why":[16],"some":[17],"states":[18],"have":[19],"been":[20],"reluctant":[21],"to":[22,71],"implement":[23],"by":[26],"focusing":[27],"on":[28],"state":[29,105],"fiscal":[30,106],"factors,":[31],"including":[32],"budget":[33,97],"solvency,":[34,36,98],"long-run":[35,89],"federal":[38],"assistance":[40],"percentages":[41],"(FMAPs).":[42],"We":[43],"used":[44],"data":[45],"samples":[47],"from":[48],"multiple":[49],"sources":[50],"covering":[51],"nine":[52],"years":[53],"(2012":[54],"\u20132020)":[55],"50":[57],"states.":[58],"Our":[59],"estimation":[60],"strategy":[61],"was":[62],"an":[63],"event":[64],"history":[65],"analysis":[66],"with":[67,87,95],"robust":[68],"standard":[69],"errors":[70],"resolve":[72],"possible":[74],"heteroscedasticity":[75],"problem.":[76],"The":[77,112],"findings":[78],"show":[79],"that":[80],"states\u2019":[81],"decisions":[84],"were":[85,92],"associated":[86,94],"increased":[88],"solvency":[90],"marginally":[93],"decreased":[96],"providing":[99],"evidence":[100],"for":[101],"significance":[103],"of":[104,117],"capacity":[107],"in":[108],"shaping":[109],"policy":[110],"decisions.":[111],"FMAP":[113],"influenced":[114],"adoption":[116],"expansion.":[120]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2023-11-04T00:00:00"}