| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w22213 |
| 来源ID | Working Paper 22213 |
| Premium Subsidies, the Mandate, and Medicaid Expansion: Coverage Effects of the Affordable Care Act | |
| Molly Frean; Jonathan Gruber; Benjamin D. Sommers | |
| 发表日期 | 2016-05-02 |
| 出版年 | 2016 |
| 语种 | 英语 |
| 摘要 | Using premium subsidies for private coverage, an individual mandate, and Medicaid expansion, the Affordable Care Act (ACA) has increased insurance coverage. We provide the first comprehensive assessment of these provisions’ effects, using the 2012-2015 American Community Survey and a triple-difference estimation strategy that exploits variation by income, geography, and time. Overall, our model explains 60% of the coverage gains in 2014-2015. We find that coverage was moderately responsive to price subsidies, with larger gains in state-based insurance exchanges than the federal exchange. The individual mandate’s exemptions and penalties had little impact on coverage rates. The law increased Medicaid among individuals gaining eligibility under the ACA and among previously-eligible populations (“woodwork effect”) even in non-expansion states, with essentially no crowd-out of private insurance. Overall, exchange premium subsidies produced 40% of the coverage gains explained by our ACA policy measures, and Medicaid the other 60%, of which 1/2 occurred among previously-eligible individuals. |
| 主题 | Public Economics ; Taxation ; Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w22213 |
| 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/579887 |
| 推荐引用方式 GB/T 7714 | Molly Frean,Jonathan Gruber,Benjamin D. Sommers. Premium Subsidies, the Mandate, and Medicaid Expansion: Coverage Effects of the Affordable Care Act. 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 | ||
| w22213.pdf（483KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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