| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w26289 |
| 来源ID | Working Paper 26289 |
| All Medicaid Expansions Are Not Created Equal: The Geography and Targeting of the Affordable Care Act | |
| Craig Garthwaite; John A. Graves; Tal Gross; Zeynal Karaca; Victoria R. Marone; Matthew J. Notowidigdo | |
| 发表日期 | 2019-10-14 |
| 出版年 | 2019 |
| 语种 | 英语 |
| 摘要 | We use comprehensive patient-level discharge data to study the effect of Medicaid on the use of hospital services. Our analysis relies on cross-state variation in the Affordable Care Act’s Medicaid expansion, along with within-state variation across ZIP Codes in exposure to the expansion. We find that the Medicaid expansion increased Medicaid visits and decreased uninsured visits. The net effect is positive for all visits, suggesting that those who gain coverage through Medicaid consume more hospital services than they would if they remained uninsured. The increase in emergency department visits is largely accounted for by “deferrable” medical conditions. Those who gained coverage under the Medicaid expansion appear to be those who had relatively high need for hospital services, suggesting that the expansion was well targeted. Lastly, we find significant heterogeneity across Medicaid-expansion states in the effects of the expansion, with some states experiencing a large increase in total utilization and other states experiencing little change. Increases in hospital utilization were larger in Medicaid-expansion states that had more residents gaining coverage and lower pre-expansion levels of hospital uncompensated care costs. |
| 主题 | Public Economics ; National Fiscal Issues ; Subnational Fiscal Issues ; Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w26289 |
| 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/584029 |
| 推荐引用方式 GB/T 7714 | Craig Garthwaite,John A. Graves,Tal Gross,et al. All Medicaid Expansions Are Not Created Equal: The Geography and Targeting of the Affordable Care Act. 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 | ||
| w26289.pdf（4332KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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