| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w25488 |
| 来源ID | Working Paper 25488 |
| The Impact of the Affordable Care Act: Evidence from California's Hospital Sector | |
| Mark Duggan; Atul Gupta; Emilie Jackson | |
| 发表日期 | 2019-01-28 |
| 出版年 | 2019 |
| 语种 | 英语 |
| 摘要 | The Affordable Care Act (ACA) authorized the largest expansion of public health insurance in the U.S. since the mid-1960s. We exploit ACA-induced changes in the discontinuity in coverage at age 65 using a regression discontinuity based design to examine effects of the expansion on health insurance coverage, hospital use, and patient health. We then link these changes to effects on hospital finances. We show that a substantial share of the federally-funded Medicaid expansion substituted for existing locally-funded safety net programs. Despite this offset, the expansion produced a substantial increase in hospital revenue and profitability, with larger gains for government hospitals. On the benefits side, we do not detect significant improvements in patient health, although the expansion led to substantially greater hospital and emergency room use, and a reallocation of care from public to private and better-quality hospitals. |
| 主题 | Public Economics ; National Fiscal Issues ; Health, Education, and Welfare ; Health ; Industrial Organization ; Nonprofits |
| URL | https://www.nber.org/papers/w25488 |
| 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/583162 |
| 推荐引用方式 GB/T 7714 | Mark Duggan,Atul Gupta,Emilie Jackson. The Impact of the Affordable Care Act: Evidence from California's Hospital Sector. 2019. |
| 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 | ||
| w25488.pdf（1706KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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