Public Health Insurance and Medical Spending: The Incidence of the ACA Medicaid Expansion.
This paper examines the incidence of the cost burden associated with expanding public health insurance to low‐income adults in the context of the Affordable Care Act. Using data from the Medical Expenditures Panel Survey (MEPS), I exploit exogenous variation in Medicaid eligibility rules across stat...
| Publicado en: | Journal of Policy Analysis & Management Vol. 42; no. 1; pp. 137 - 166 |
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| Formato: | Artículo |
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Wiley-Blackwell
Jan2023
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| 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=161365256&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 161365256 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 02768739 JPA jtl: Journal of Policy Analysis & Management issn: 02768739 maglogo: Y pubinfo: dt: Jan2023 vid: 42 iid: 1 pid: 480 pub: Wiley-Blackwell artinfo: ui: 161365256 10.1002/pam.22435 ppf: 137 ppct: 29 formats: tig: atl: Public Health Insurance and Medical Spending: The Incidence of the ACA Medicaid Expansion. aug: au: Shupe, Cortnie su: Health insurance Medical care costs Medicaid Insurance eligibility Health insurance exchanges Medicaid eligibility sug: subj: Health insurance Medical care costs Medicaid Direct individual life, health and medical insurance carriers Direct group life, health and medical insurance carriers Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Insurance eligibility Health insurance exchanges Medicaid eligibility ab: This paper examines the incidence of the cost burden associated with expanding public health insurance to low‐income adults in the context of the Affordable Care Act. Using data from the Medical Expenditures Panel Survey (MEPS), I exploit exogenous variation in Medicaid eligibility rules across states, income groups and time. I find that public insurance eligibility reduced mean out‐of‐pocket spending by 19.6 percent among targeted households, but it did not causally increase total expenditures among beneficiaries. Rather, Medicaid expansion shifted the burden of payment from eligible households and private insurance (21.5 percent reduction) to taxpayers in the form of public insurance (46.6 percent increase). The efficiency of these public funds can be summarized by a mean Marginal Value of Public Funds of 0.70 in the full sample, 0.99 among households with at least one pre‐existing condition, and 1.26 in states with an above‐median number of public hospitals. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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