Bandaged up $100 bill Of those who lost Medicaid coverage as a result of the work requirement, 50% had increased problems paying off medical debt, 56% delayed medical care and 64% delayed taking medications.

When the ACA opened the door for states to expand Medicaid, many sought to tie the expansion to a work requirement. Arkansas was one of the first states to do so in 2018, though a judge eventually blocked the requirement. Still, the short experiment with Medicaid work requirements offers up a glimpse of how effective such programs could be. Unfortunately, the results aren’t promising: Imposing work requirements on Medicaid recipients did not boost their rate of employment, despite the stated aims made by supporters of the programs, according to a recent study from Harvard researchers.

The study, published in Health Affairs this month, assessed a work requirements provision introduced into the Medicaid program in Arkansas in 2018. Researchers at Harvard University conducted a telephonic survey of 2,706 low-income residents in Arkansas, from Nov. 6 to Jan. 3, which built on prior data in 2016 and 2018 about work requirements in Medicaid coverage.

Complete your profile to continue reading and get FREE access to, part of your ALM digital membership.

Your access to unlimited content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Critical information including cutting edge post-reform success strategies, access to educational webcasts and videos, resources from industry leaders, and informative Newsletters.
  • Exclusive discounts on ALM, BenefitsPRO magazine and events.
  • Access to other award-winning ALM websites including and

Already have an account?


Join BenefitsPRO

Don’t miss crucial news and insights you need to navigate the shifting employee benefits industry. Join now!

  • Unlimited access to - your roadmap to thriving in a disrupted environment
  • Access to other award-winning ALM websites including and
  • Exclusive discounts on and ALM events.

Already have an account? Sign In Now
Join BenefitsPRO

Copyright © 2023 ALM Global, LLC. All Rights Reserved.