Insurance Subsidies, the Affordable Care Act, and Financial Stability.

This paper measures the effects of subsidies in the Affordable Care Act on adverse financial outcomes using administrative tax data and credit data on financial outcomes. Using a difference‐in‐differences design with propensity score reweighting, I find that at $100 per capita, ACA premium tax credi...

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Publicado en:Journal of Policy Analysis & Management Vol. 42; no. 1; pp. 97 - 137
Autor principal: Dodini, Samuel
Formato: Artículo
Publicado: Wiley-Blackwell Jan2023
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Insurance Subsidies, the Affordable Care Act, and Financial Stability.
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        au: Dodini, Samuel
      su:
        Subsidies
        Health insurance exchanges
        Patient Protection & Affordable Care Act
        Financial security
        Medical debt
        Tax credits
      sug:
        subj:
          Subsidies
          Health insurance exchanges
          Patient Protection & Affordable Care Act
          Financial security
          Medical debt
          Tax credits
      ab: This paper measures the effects of subsidies in the Affordable Care Act on adverse financial outcomes using administrative tax data and credit data on financial outcomes. Using a difference‐in‐differences design with propensity score reweighting, I find that at $100 per capita, ACA premium tax credits and cost‐sharing reduction subsidies reduced consumer bankruptcies and severe auto delinquency by 8 percent and 7 percent, respectively, and substantially reduced right‐tail delinquent debt and third‐party collections. The value of recipients' risk protection against medical debt payments amounts to approximately 16 to 21 percent of the cash costs of the subsidies, while the subsidies provided substantial indirect transfers to external parties.
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    language: English
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