The Trump Effect: Postinauguration Changes in Marketplace Enrollment.
Context: On January 20. 2017. President Donald Trump penned his first executive order, which aimed to "minimizfe] the economic burden" of the Affordable Care Act, signaling his intent to make good on promises to repeal and replace the law. This executive order, along with concurrent changes in polit...
| Publicado en: | Journal of Health Politics, Policy & Law Vol. 44; no. 5; pp. 715 - 737 |
|---|---|
| Autores principales: | , |
| Formato: | Artículo |
| Publicado: |
Duke University Press
Oct2019
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=138599491&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 138599491 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 03616878 HPP jtl: Journal of Health Politics, Policy & Law issn: 03616878 maglogo: N pubinfo: dt: Oct2019 vid: 44 iid: 5 pid: 154 pub: Duke University Press artinfo: ui: 138599491 10.1215/03616878-7611623 ppf: 715 ppct: 22 formats: tig: atl: The Trump Effect: Postinauguration Changes in Marketplace Enrollment. aug: au: Anderson, David Shafer, Paul affil: Duke University University of North Carolina at Chapel Hill su: Insurance Practical politics Law Legislation Economics Patient Protection & Affordable Care Act -- Economic aspects Health care reform Health services administration Regression analysis Data analysis software Patient Protection & Affordable Care Act Descriptive statistics Health insurance exchanges sug: subj: Insurance Practical politics Law Legislation Economics Administration of Public Health Programs Third Party Administration of Insurance and Pension Funds All Other Insurance Related Activities Other Insurance Funds Patient Protection & Affordable Care Act -- Economic aspects Health care reform Health services administration Regression analysis Data analysis software Patient Protection & Affordable Care Act Descriptive statistics Health insurance exchanges keyword: Affordable Care Act enrollment health insurance Health Insurance Marketplace political messaging Affordable Care Act enrollment health insurance Health Insurance Marketplace political messaging ab: Context: On January 20. 2017. President Donald Trump penned his first executive order, which aimed to "minimizfe] the economic burden" of the Affordable Care Act, signaling his intent to make good on promises to repeal and replace the law. This executive order, along with concurrent changes in political messaging associated with the transition in power and reductions in Healthcare.gov advertising, lowered Health Insurance Marketplace enrollment at the end of the 2017 open enrollment period. Methods: The authors used difference-in-differences and event-study models with weekly county-level Marketplace application data from 1,476 counties in 37 states to estimate the incremental enrollment loss in the postinauguration period. Findings: Estimates indicate a population-weighted decline of over 700 applications percounty-week during the final 2 weeks of the 2017 open enrollment period relative to 2016, corresponding to a nearly 30% decline in applications submitted. A more flexible event-study approach that better accounts for time shifting of enrollment across open enrollment periods found a similar decline of approximately 660 applications per county-week associated with the postinauguration period (-24%). Conclusions: The lack of political support for the law by the incoming administration seemingly had an immediate and significant downward effect on Marketplace enrollment nationwide. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|