| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w22182 |
| 来源ID | Working Paper 22182 |
| Impacts of the Affordable Care Act on Health Insurance Coverage in Medicaid Expansion and Non-Expansion States | |
| Charles Courtemanche; James Marton; Benjamin Ukert; Aaron Yelowitz; Daniela Zapata | |
| 发表日期 | 2016-04-25 |
| 出版年 | 2016 |
| 语种 | 英语 |
| 摘要 | The Affordable Care Act (ACA) aimed to achieve nearly universal health insurance coverage in the United States through a combination of insurance market reforms, mandates, subsidies, health insurance exchanges, and Medicaid expansions, most of which took effect in 2014. This paper estimates the causal effects of the ACA on health insurance coverage using data from the American Community Survey. We utilize difference-in-difference-in-differences models that exploit cross-sectional variation in the intensity of treatment arising from state participation in the Medicaid expansion and local area pre-ACA uninsured rates. This strategy allows us to identify the effects of the ACA in both Medicaid expansion and non-expansion states. Our preferred specification suggests that, at the average pre-treatment uninsured rate, the full ACA increased the proportion of residents with insurance by 5.9 percentage points compared to 3.0 percentage points in states that did not expand Medicaid. Private insurance expansions from the ACA were due to increases in both employer-provided and non-group coverage. The coverage gains from the full ACA were largest for those with incomes below the Medicaid eligibility threshold, non-whites, young adults, and unmarried individuals. We find some evidence that the Medicaid expansion partially crowded out private coverage among low-income individuals. |
| 主题 | Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w22182 |
| 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/579856 |
| 推荐引用方式 GB/T 7714 | Charles Courtemanche,James Marton,Benjamin Ukert,et al. Impacts of the Affordable Care Act on Health Insurance Coverage in Medicaid Expansion and Non-Expansion States. 2016. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w22182.pdf（232KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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