G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w29492
来源IDWorking Paper 29492
The Responsiveness of Medicaid Spending to the Federal Subsidy
M. Kate Bundorf; Daniel P. Kessler
发表日期2021-11-22
出版年2021
语种英语
摘要Although economic theory suggests that the federal government can influence spending by states through subsidies to programs that states operate, no recent work has quantified the magnitude of this effect for Medicaid, the largest program of this type in the U.S. We find that Medicaid spending per enrollee responds to the magnitude of the federal subsidy. The Affordable Care Act (ACA) and its subsequent interpretation by the Supreme Court gave states the option to expand eligibility for their Medicaid programs in exchange for increases in the generosity of the federal subsidy. States that exercised this option increased Medicaid spending per enrollee on enrollees who were eligible even before the ACA by approximately 15 percent. Depending on the specification, this translates into an elasticity of Medicaid spending per enrollee with respect to the after-subsidy price of Medicaid to a state of -0.494 to -0.579.
主题Public Economics ; Subnational Fiscal Issues
URLhttps://www.nber.org/papers/w29492
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/587166
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M. Kate Bundorf,Daniel P. Kessler. The Responsiveness of Medicaid Spending to the Federal Subsidy. 2021.
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