Losing public health insurance: TennCare reform and personal financial distress July 2020 By Sebastian Tello-TrilloLaura M. ArgysAndrew I. FriedsonM. Melinda Pitts Losing public health insurance: TennCare reform and personal financial distress A primary goal of health insurance is smoothing the financial risk associated with health shocks. We estimate the effect of exposure to health-insurance reform on individual-level financial well-being. Utilizing a plausibly exogenous shock to health insurance status resulting from a sudden disenrollment from Tennessee's Medicaid program in 2005, we find that the reform resulted in a 2.78 point decline in credit risk score for an individual in the median county in Tennessee. This study is the first examining the impact of losing any form of public assistance on personal financial well-being and our results inform ongoing discussions around Medicaid reform. Read article Sebastian Tello-Trillo Sebastian Tello-Trillo is an economist whose research focuses on health policy in the U.S and Latin America. Most of his research focuses on understanding how policies affect individuals’ health behaviors and economic outcomes. His fields of specialization are in Health Economics and Applied Microeconomics. Read full bio Laura M. Argys Andrew I. Friedson M. Melinda Pitts Related Content Sebastian Tello-Trillo Regional Disparities in Qualified Health Plans’ Prior Authorization Requirements for HIV Pre-exposure Prophylaxis in the United States Research Batten’s Sebastian Tello Trillo and his co-authors answer the question are there regional disparities in prior authorization requirements for HIV pre-exposure prophylaxis? Key justices seem inclined to uphold the Affordable Care Act. But uncertainty remains. News In the latest edition of Batten Expert Chats, Batten professor and health economist Sebastian Tello-Trillo discussed the Supreme Court’s upcoming decision on the healthcare law, as well as its policy implications. New Research Finds 'Systemic Barrier' to HIV Prevention in Southern States News Professor Sebastian Tello-Trillo, along with a team of researchers from UVA, have discovered that the South, the U.S. region with the most HIV infections each year, also has the greatest barriers to obtaining drugs that can prevent the disease for people who rely on Affordable Care Act insurance plans.