| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w26030 |
| 来源ID | Working Paper 26030 |
| The Impact of Medicaid on Medical Utilization in a Vulnerable Population: Evidence from COFA Migrants | |
| Timothy J. Halliday; Randall Q. Akee; Tetine Sentell; Megan Inada; Jill Miyamura | |
| 发表日期 | 2019-07-08 |
| 出版年 | 2019 |
| 语种 | 英语 |
| 摘要 | In March 2015, the State of Hawaii stopped covering the vast majority of migrants from countries belonging to the Compact of Free Association (COFA) in the state Medicaid program. COFA migrants were instead required to obtain private insurance in the exchanges established under the Affordable Care Act. Using statewide administrative hospital discharge data, we show that Medicaid-funded hospitalizations and emergency room visits declined in this population by 69% and 42% after the expiration of Medicaid eligibility. This decrease occurred despite the fact that low-income COFA households were eligible for state-funded premium coverage for private insurance. Utilization funded by private insurance did increase, but not enough to offset the declines in Medicaid-funded utilization. Uninsured ER visits increased as a consequence of the expiration of Medicaid benefits. Paradoxically, we also find a substantial increase in Medicaid-funded ER visits by infants after the expiration of benefits. |
| 主题 | Health, Education, and Welfare ; Health ; Labor Economics ; Unemployment and Immigration |
| URL | https://www.nber.org/papers/w26030 |
| 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/583704 |
| 推荐引用方式 GB/T 7714 | Timothy J. Halliday,Randall Q. Akee,Tetine Sentell,et al. The Impact of Medicaid on Medical Utilization in a Vulnerable Population: Evidence from COFA Migrants. 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 | ||
| w26030.pdf（683KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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