The article examines the 2018 implementation of Medicaid work requirements in Arkansas, which led to over 25% of targeted enrollees losing coverage—primarily due to administrative barriers rather than employment status. Despite the policy’s intent to encourage work, the study found no increase in employment, but did observe declines in preventive care and self-reported health, highlighting the unintended consequences of linking healthcare access to work reporting requirements.

Case Study: Medicaid Work Requirements Have Unintended Consequences
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