Labor mobility and the Affordable Care Act: Heterogeneous impacts of the preexisting conditions provision.

The Patient Protection and Affordable Care Act (ACA) preexisting conditions provision ensures that insurance companies can no longer deny coverage, charge higher premiums, or exclude coverage due to a preexisting health condition. In this paper, we evaluate the impact of the provision on labor mobil...

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Publicado en:Journal of Policy Analysis & Management Vol. 43; no. 1; pp. 157 - 192
Autores principales: Connolly, Laura, Hampton, Matt, Lenhart, Otto
Formato: Artículo
Publicado: Wiley-Blackwell Jan2024
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2024
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      pub: Wiley-Blackwell
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        10.1002/pam.22521
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        atl: Labor mobility and the Affordable Care Act: Heterogeneous impacts of the preexisting conditions provision.
      aug:
        au:
          Connolly, Laura
          Hampton, Matt
          Lenhart, Otto
        affil:
          Michigan Technological University, Houghton Michigan,, USA
          Austin Peay State University, Clarksville Tennessee,, USA
          University of Strathclyde, Glasgow, UK
      su:
        Labor mobility
        Health insurance
        Income
        Patient Protection & Affordable Care Act
        Health insurance exchanges
        Panel analysis
        Preexisting medical condition coverage
      sug:
        subj:
          Labor mobility
          Health insurance
          Income
          Direct individual life, health and medical insurance carriers
          Direct group life, health and medical insurance carriers
          Patient Protection & Affordable Care Act
          Health insurance exchanges
          Panel analysis
          Preexisting medical condition coverage
      ab: The Patient Protection and Affordable Care Act (ACA) preexisting conditions provision ensures that insurance companies can no longer deny coverage, charge higher premiums, or exclude coverage due to a preexisting health condition. In this paper, we evaluate the impact of the provision on labor mobility. We use data from the Panel Study of Income Dynamics for years 2009 through 2019 and estimate difference‐in‐differences models to determine whether the provision improved labor mobility for individuals with chronic conditions. While females respond along the extensive margin by being less likely to work, males experience broader labor mobility improvements. Men are more likely to start a new job, become employed in a different industry, and move to a different state in the post‐policy period. Labor mobility improvements are largest among males with household incomes greater than 138% of the federal poverty level, males ages 35 to 49, and males with conditions first diagnosed more than 10 years ago. Last, we show that the policy improved access to health insurance coverage and reduced the likelihood that health impacts the amount or type of work, which ultimately increased labor market flexibility. Our results highlight the heterogenous impacts of the provision on different subgroups of the population.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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