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Effects of ACA Medicaid Expansions on Health Insurance Coverage and Labor Supply
Author(s) -
Kaestner Robert,
Garrett Bowen,
Chen Jiajia,
Gangopadhyaya Anuj,
Fleming Caitlyn
Publication year - 2017
Publication title -
journal of policy analysis and management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.898
H-Index - 84
eISSN - 1520-6688
pISSN - 0276-8739
DOI - 10.1002/pam.21993
Subject(s) - medicaid , health insurance , public health insurance , private insurance , work (physics) , demographic economics , patient protection and affordable care act , business , health care , economics , actuarial science , economic growth , mechanical engineering , engineering
Abstract We examined the effect of the expansion of Medicaid eligibility under the Affordable Care Act on health insurance coverage and labor supply of low‐educated and low‐income adults. We found that the Medicaid expansions were associated with large increases in Medicaid coverage, for example, 50 percent among childless adults, and corresponding decreases in the proportion uninsured. There was relatively little change in private insurance coverage, although the expansions tended to decrease such coverage slightly. In terms of labor supply, estimates indicated that the Medicaid expansions had little effect on work effort despite the substantial changes in health insurance coverage. Most estimates suggested that the expansions increased work effort, although not significantly.