How Did Take-Up of Marketplace Plans Vary with Price, Income, and Gender?
We estimate the demand for subsidized insurance in the Affordable Care Act marketplaces using administrative enrollment data for the 39 states that used Healthcare.gov between 2015 and 2017. Our results expand the existing literature on marketplace take-up, the extensive margin, in several important...
| Publicado en: | American Journal of Health Economics Vol. 11; no. 1; pp. 63 - 91 |
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| Autores principales: | , , |
| Formato: | equations & formulas pictorial research tables/charts Journal Article |
| Publicado: |
University of Chicago Press
Winter2025
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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=ccm&AN=182285309&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 182285309 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23323493 HR86 jtl: American Journal of Health Economics issn: 23323493 maglogo: N pubinfo: dt: Winter2025 vid: 11 iid: 1 pid: 415 pub: University of Chicago Press place: Chicago, Illinois artinfo: ui: 182285309 181746782 182285309 182285309 10.1086/727785 182285309 ppf: 63 ppct: 28 formats: tig: atl: How Did Take-Up of Marketplace Plans Vary with Price, Income, and Gender? aug: au: Hopkins, Benjamin Banthin, Jessica Minicozzi, Alexandra sug: subj: Health Insurance Exchanges Economics Income Sex Factors Insurance Coverage Human Male Female Adult Middle Age United States Centers for Medicare and Medicaid Services Surveys Insurance Women's Health Age Factors Sensitivity and Specificity Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: We estimate the demand for subsidized insurance in the Affordable Care Act marketplaces using administrative enrollment data for the 39 states that used Healthcare.gov between 2015 and 2017. Our results expand the existing literature on marketplace take-up, the extensive margin, in several important ways. First, we provide the first estimates of price elasticities based on administrative data from states with Federally Facilitated Marketplaces, which accounted for three-quarters of all marketplace enrollment and include states that did not expand Medicaid. Our estimates suggest that price elasticities may be lower in our sample of states than in states such as California (a major data source for other studies), which expanded Medicaid and pursued policies that may have increased price sensitivity. Our analysis also yields new evidence suggesting that many people in the coverage gap in non-expansion states obtain subsidies by reporting income just above the federal poverty line at the time of enrollment, especially in Florida. Finally, we update the existing literature describing higher demand for insurance coverage by women by estimating the difference in take-up rates by gender while controlling for eligibility for subsidies, finding that these gender differences persist among both young and older adults. pubtype: Academic Journal doctype: equations & formulas pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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