scholarly journals The Impact of Affordable Care Act Medicaid Expansions on Applications to Federal Disability Programs

2018 ◽  
Vol 21 (2) ◽  
Author(s):  
Priyanka Anand ◽  
Jody Schimmel Hyde ◽  
Maggie Colby ◽  
Paul O’Leary
Keyword(s):  
Regression Model ◽  
Affordable Care Act ◽  
Disability Insurance ◽  
Difference In Differences ◽  
Socioeconomic Characteristics ◽  
Patient Protection ◽  
Application Rates ◽  
Social Security Disability ◽  
The Impact ◽  
Medicaid Expansions

Abstract In this paper, we estimate the impact of Medicaid expansions via the Patient Protection and Affordable Care Act (ACA) on applications to federal disability programs in 14 states that expanded Medicaid in January 2014. We use a difference-in-differences regression model to compare disability application rates in geographic areas within states that expanded Medicaid to rates in areas of non-expansion states that were carefully selected using a matching approach that accounts for state Medicaid policies pre-ACA as well as demographic and socioeconomic characteristics that might influence disability application rates. We find a slower decrease in Supplemental Security Income (SSI) application rates after Medicaid expansions in expansion states relative to non-expansion states, with application rates declining in both state groups from 2014 through 2016. Our analysis of the impact of the Medicaid expansions on Social Security Disability Insurance (SSDI) application rates was inconclusive for reasons we discuss in the paper.

The Impact of Medicaid Expansions on Nonprofit Hospitals

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Rui Wang ◽  
Khaldoun AbouAssi
Keyword(s):  
Affordable Care Act ◽  
Poverty Line ◽  
Policy Changes ◽  
Difference In Differences ◽  
Nonprofit Hospitals ◽  
Federal Poverty Line ◽  
Medicaid Eligibility ◽  
Using Data ◽  
The Impact ◽  
Medicaid Expansions

Abstract The 2010 Affordable Care Act expanded Medicaid eligibility to states’ residents with incomes below the federal poverty line, creating both opportunities and challenges to hospitals in states that adopted the new Medicaid eligibility. This article explores the effect of Medicaid expansions on nonprofit hospitals. Using data from Internal Revenue Service and a difference-in-differences design, this article examines the impact of the expansions on the number of, contributions to, and profitability of nonprofit hospitals. The results suggest that Medicaid expansions did not affect the number and profitability of nonprofit hospitals; however, the expansions were associated with a reduction in contributions to certain types of hospitals by around 23%. Therefore, the effects of policy changes vary by the type of nonprofit hospitals, which then need to find better strategies to cope with these changes.

scholarly journals The Affordable Care Act (2010) and its perceived impact on assisted fertility care access: Pilot data from a national sample of women’s health practitioners in USA

2017 ◽  
Vol 3 (1) ◽  
pp. 63
Author(s):  
Denis A Vaughan ◽  
Irene Dimitriadis ◽  
Eric Scott Sills ◽  
Kelly Pagidis
Keyword(s):  
Affordable Care Act ◽  
Positive Impact ◽  
Healthcare Services ◽  
National Sample ◽  
Care Access ◽  
Patient Protection ◽  
Political Preferences ◽  
Health Practitioners ◽  
Perceived Impact ◽  
The Impact

Objective: The Patient Protection & Affordable Care Act (ACA), or “Obamacare”, represents the most substantial reform of the U.S. healthcare system since the 1965 creation of Medicare and Medicaid. This investigation sought to ascertain knowledge and opinion among physicians providing women’s healthcare services about how this national health program will impact access to fertility treatments.Methods: Between May-July 2014, doctor’s perceptions of ACA were registered by anonymous questionnaire submitted to program directors and house staff at 50 accredited obstetrics & gynecology training centers in USA. Self-reported political preferences were also tabulated for each respondent.Results: Overall, 53.3% of participants (n = 114) claimed familiarity with ACA although this varied significantly by seniority (68.8% of faculty vs. 40% of trainees; p = .003). Among respondents 54.9% identified as liberal, 23% as moderate, and 19.5% as conservative. Most physicians in this sample (51.8%) anticipated a positive impact on assisted fertility care from ACA, 17.9% predicted an adverse effect, and just under one third (30.3%) either had no opinion or were unable to make a prediction.Conclusions: This study offers the first analysis of women’s healthcare physicians’ opinion about the impact of ACA on assisted fertility services. Our report finds low general familiarity of ACA among doctors. Moreover, marked divisions of opinion exist among physicians concerning the ACA in general, as well as what role the ACA should play in the provision of assisted fertility care specifically. If U.S. physicians are to provide leadership on women’s healthcare policy initiatives with a view to reach consensus (especially with respect to assisted fertility services), improved awareness of the ACA and its sequela will be crucial.

Did the time frame associated with the implementation of the Patient Protection and Affordable Care Act noticeably impact consumer bankruptcy filings?

2017 ◽  
Vol 44 (12) ◽  
pp. 1957-1972
Author(s):  
Donald D. Hackney ◽  
Daniel Friesner ◽  
Erica H. Johnson
Keyword(s):  
Health Insurance ◽  
Affordable Care Act ◽  
Dynamic Change ◽  
Time Frame ◽  
Insurance Premium ◽  
Skewed Distribution ◽  
Structural Dynamic ◽  
Content Type ◽  
Patient Protection ◽  
The Impact

Purpose The purpose of this paper is to examine whether the timing associated with the implementation of the health insurance-related provisions of the Patient Protection and Affordable Care Act (ACA) altered the presence and distribution of medical/non-medical debts accumulated by different types of bankruptcy filers. Design/methodology/approach Data were drawn from the US Bankruptcy Court’s Eastern Washington District over the years 2009, 2011 and 2014 using interval random sampling. Binary probit and Tobit analyses were used to model the existence, and distribution, of medical debts and total debts, respectively, at the time of filing. The impact of the time frame associated with the ACA was operationalized via a Chow test for structural dynamic change. Findings Chapter 13 filers in 2014 (post-ACA-based health exchange implementation) were more likely to report medical debts than Chapter 7 filers in the pre-intervention period, and were also more likely to report a larger proportion of outstanding debts owed to a single creditor. Filers claiming health insurance premium expenses in 2011 were (at the 10 percent significance level) more likely to report a more skewed distribution of medical debts. Originality/value The time frame associated with the implementation of the ACA impacts the distribution of medical debts among filers who have sufficient net disposable income to fund a Chapter 13 plan. The polarization of outstanding medical debts may indicate coverage gaps in existing health insurance policies, whose costs would be disproportionately borne by patients operating on thin financial margins.

The Impact of Insurance Expansions on the Already Insured: The Affordable Care Act and Medicare

2020 ◽  
Vol 12 (4) ◽  
pp. 288-318
Author(s):  
Colleen M. Carey ◽  
Sarah Miller ◽  
Laura R. Wherry
Keyword(s):  
Access To Care ◽  
Affordable Care Act ◽  
Medicare Beneficiaries ◽  
Medicare Population ◽  
Large Panel ◽  
The Affordable Care Act ◽  
The Impact ◽  
Medicaid Expansions ◽  
Rule Out

Some states have not adopted the Affordable Care Act (ACA) Medicaid expansions due to concerns that the expansions may impair access to care and utilization for those who are already insured. We investigate such negative spillovers using a large panel of Medicare beneficiaries. Across many subgroups and outcomes, we find no evidence that the expansions reduced utilization among Medicare beneficiaries and can rule out all but very small changes in utilization or spending. These results indicate that the expansions in Medicaid did not impair access to care or utilization for the Medicare population. (JEL G22, H51, I13, I18, I38)

The Industrial Organization of Health-Care Markets

2015 ◽  
Vol 53 (2) ◽  
pp. 235-284 ◽  
Author(s):  
Martin Gaynor ◽  
Kate Ho ◽  
Robert J. Town
Keyword(s):  
Health Care ◽  
Industrial Organization ◽  
Health Care Providers ◽  
Affordable Care Act ◽  
Health Care Spending ◽  
Health Care Markets ◽  
Care Providers ◽  
Patient Protection ◽  
The Impact ◽  
The U.S

The U.S. health-care sector is large and growing—health-care spending in 2011 amounted to $2.7 trillion and 18 percent of GDP. Approximately half of health-care output is allocated via markets. In this paper, we analyze the industrial organization literature on health-care markets, focusing on the impact of competition on price, quality, and treatment decisions for health-care providers and health insurers. We conclude with a discussion of research opportunities for industrial organization economists, including opportunities created by the U.S. Patient Protection and Affordable Care Act. (JEL J15, J24, J71, J81, K31)

Sign in / Sign up

Export Citation Format

Share Document