The Impact of Eligibility for Medicaid versus Subsidized Private Health Insurance on Medical Spending, Self-Reported Health, and Public Program Participation.
Abstract We use a regression discontinuity design to understand the impact of a sharp change in eligibility for Medicaid versus subsidized marketplace insurance at 138 percent of the federal poverty line on coverage, medical spending, health status, and other public program participation. We find a...
| Publicado en: | American Journal of Health Economics Vol. 9; no. 2; pp. 262 - 296 |
|---|---|
| Autores principales: | , , |
| Formato: | equations & formulas tables/charts Journal Article |
| Publicado: |
University of Chicago Press
Spring2023
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163437419&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163437419 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23323493 HR86 jtl: American Journal of Health Economics issn: 23323493 maglogo: N pubinfo: dt: Spring2023 vid: 9 iid: 2 pid: 415 pub: University of Chicago Press place: Chicago, Illinois artinfo: ui: 163437419 162745289 163437419 163437419 10.1086/722982 163437419 ppf: 262 ppct: 34 formats: tig: atl: The Impact of Eligibility for Medicaid versus Subsidized Private Health Insurance on Medical Spending, Self-Reported Health, and Public Program Participation. aug: au: Barcellos, Silvia Helena Jacobson, Mireille Levy, Helen G. sug: subj: Medicaid Expansion Eligibility Determination Insurance, Health Health Care Costs Self Report Health Status Public Health Consumer Participation Patient Protection and Affordable Care Act Health Services Accessibility Health Insurance Exchanges Income ab: Abstract We use a regression discontinuity design to understand the impact of a sharp change in eligibility for Medicaid versus subsidized marketplace insurance at 138 percent of the federal poverty line on coverage, medical spending, health status, and other public program participation. We find a 5.5 percentage point shift from Medicaid to private insurance, with no net change in coverage. The shift increases individual health spending by $341 or 2 percent of income, with larger increases at higher points in the spending distribution. Two-thirds of the increase is from premiums and one-third from out-of-pocket medical spending. Self-rated health and other public program participation appear unchanged. We find no evidence of bunching below the eligibility threshold, which suggests either that individuals are willing to pay more for private insurance or that optimization frictions are high. pubtype: Academic Journal doctype: equations & formulas tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|