Does health insurance always increase medical spending? Evidence from the affordable care act dependent mandate
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The Affordable Care Act Dependent Mandate (ACA-DM) has increased young adults’ health insurance coverage through parents’ employer-sponsored health insurance. This could have increased employers’ labor costs and thus reduced parents’ wages. In this study, we examine the effects of the ACA-DM on family income and medical spending. Using a difference-in-differences approach, we find evidence that the ACA-DM decreased family income but did not increase young adults’ medical spending. The results imply that expansion of health insurance coverage does not necessarily increase medical spending if it is achieved through labor markets and decreases family income.
Abstract
The Affordable Care Act Dependent Mandate (ACA-DM) has increased young adults’ health insurance coverage through parents’ employer-sponsored health insurance. This could have increased employers’ labor costs and thus reduced parents’ wages. In this study, we examine the effects of the ACA-DM on family income and medical spending. Using a difference-in-differences approach, we find evidence that the ACA-DM decreased family income but did not increase young adults’ medical spending. The results imply that expansion of health insurance coverage does not necessarily increase medical spending if it is achieved through labor markets and decreases family income.
참고문헌 (9)
- Acemoglu, D., "Income and health spending : Evidence from oil price shocks", Review of Economics and Statistics, 95(4), pp.1079~1095 (2013)
- Anderson, M., "The effect of health insurance coverage on the use of medical services", American Economic Journal : Economic Policy, 4(1), pp.1~27 (2012)
- Antwi, Y. A., "Effects of federal policy to insure young adults : evidence from the 2010 Affordable Care Act's dependent-coverage mandate", American Economic Journal : Economic Policy, 5(4), pp.1~28 (2013)
- Antwi, Y. A., "Access to health insurance and the use of inpatient medical care : Evidence from the Affordable Care Act young adult mandate", Journal of Health Economics, 39, pp.171~187 (2015)
- Antwi, Y. A., "Changes in emergency department use among young adults after the Patient Protection and Affordable Care Act’s dependent coverage provision", Annals of Emergency Medicine, 65(6), pp.664~672 (2015)
- Finkelstein, A., "The Oregon Health Insurance Experiment : Evidence from the First Year", The Quarterly Journal of Economics, 127(3), pp.1057~1106 (2012)
- Hernandez-Boussard, T., "The Affordable Care Act reduces emergency department use by young adults : evidence from three states", Health Affairs, 33(9), pp.1648~1654 (2014)
- Koh, K., "Labor Market Impacts of Mandated Dependent Health Insurance Coverage : Evidence from the Affordable Care Act Dependent Mandate", Labour Economics, 75, pp.102128~ (2022)
- Illness and Injury as Contributors to Bankruptcy, "Himmelstein, D. U.", Health Affairs, ~, pp.Health Affairs (Project Hope), W5-63 (2005)
