全球智库信息集成服务系统(G2TT): How Do Providers Respond to Public Health Insurance Expansions? Evidence from Adult Medicaid Dental Benefits

G2TT

来源类型	Working Paper
规范类型	报告
DOI	10.3386/w20053
来源ID	Working Paper 20053
	How Do Providers Respond to Public Health Insurance Expansions? Evidence from Adult Medicaid Dental Benefits
	Thomas C. Buchmueller; Sarah Miller; Marko Vujicic
发表日期	2014-04-17
出版年	2014
语种	英语
摘要	A large and growing number of adults are covered by public insurance, and the Affordable Care Act is predicted to dramatically increase public coverage over the next several years. This study evaluates how such large increases in public coverage affect provider behavior and patient wait times by analyzing a common type of primary care: dental services. We find that when states add dental benefit to adult Medicaid coverage, dentists' participation in Medicaid increases and dentists see more publicly insured patients without decreasing the number of visits provided to privately insured patients. Dentists increase the total number of visits they supply each week while only modestly increasing the amount of time they spend working. They achieve this primarily by making greater use of dental hygienists. As a result, dentists' income increases. Wait times increase modestly, with the largest increases in wait times observed in states with restrictive scope of practice laws governing dental hygienists. These changes are most pronounced among dentists who practice in poor areas where Medicaid coverage is greatest.
主题	Health, Education, and Welfare ; Health
URL	https://www.nber.org/papers/w20053
来源智库	National Bureau of Economic Research (United States)
引用统计
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/577727
推荐引用方式 GB/T 7714	Thomas C. Buchmueller,Sarah Miller,Marko Vujicic. How Do Providers Respond to Public Health Insurance Expansions? Evidence from Adult Medicaid Dental Benefits. 2014.