scholarly journals Part-time Employment and Health Insurance Reform: What Can Massachusetts Tell Us about the Affordable Care Act?

2017 ◽  
Vol 2 (3) ◽  
pp. 01 ◽  
Author(s):  
Laura J. Owen

<p>Experience with health insurance reform in Massachusetts may provide a good forecast of the impact of the Affordable Care Act [ACA] on the growth of part-time employment. Concerns have been expressed that the ACA will lead to growing part-time employment, but it will take several years to observe this effect and whether it is labor demand (firm) or labor supply (worker) initiated. Using state-level data from 1999 to 2012, I treat the 2007 implementation of the new Massachusetts health insurance system as an “experiment” to examine whether it had any differential effect on the growth in part-time employment in the state. A panel estimation including fixed cross-section and period effects reveals that voluntary part-time employment increased in Massachusetts relative to the other states, but reform measures did not have an effect on involuntary part-time employment. The impact of the reform on voluntary part-time employment suggests that some Massachusetts workers found the pre-reform system to be an obstacle to their choice of optimal work hours. The implementation of the ACA, by providing avenues for obtaining health insurance that are not directly tied to employment, may remove this obstacle for workers in other states and make part-time employment a more attractive choice for workers across the U.S.</p>

2020 ◽  
Vol 58 (3) ◽  
pp. 192-207
Author(s):  
James Houseworth ◽  
Sandra L. Pettingell ◽  
Julie E. D. Kramme ◽  
Renáta Tichá ◽  
Amy S. Hewitt

Abstract Direct support professionals (DSPs) provide a broad range of supports in a variety of settings to people with intellectual and developmental disabilities (IDD) that enables people to live, work, and participate in their communities. Despite the crucial importance in ensuring supports for community participation of people with IDD, high rates of annual turnover among DSPs in organizations that employ them have been documented for decades. This study utilizes National Core Indicators Staff Stability data from 2016 to examine the impact of organizational- and state-level factors related to DSP turnover, including annual DSP turnover and the percentage of DSPs who left their positions after less than 6 months. At the organizational level, a higher turnover rate in the last 12 months was significantly related to lower DSP wages and to not offering health insurance. At the state level, a higher turnover rate in the last 12 months was significantly related to a lower percentage of people living in individualized settings and lower per capita Medicaid spending. For early turnover at the organizational level, a higher percent of leavers within 6 months of tenure was significantly related to not offering paid time off and health insurance, higher vacancy rates, higher proportion of part-time DSPs, and lower overall staff sizes.


2014 ◽  
Vol 104 (5) ◽  
pp. 329-335 ◽  
Author(s):  
Nicole Maestas ◽  
Kathleen J. Mullen ◽  
Alexander Strand

As health insurance becomes available outside of the employment relationship as a result of the Affordable Care Act (ACA), the cost of applying for Social Security Disability Insurance (SSDI)—potentially going without health insurance coverage during a waiting period totaling 29 months from disability onset —will decline for many people with employer-sponsored health insurance. At the same time, the value of SSDI and Supplemental Security Income (SSI) participation will decline for individuals who otherwise lacked access to health insurance. We study the 2006 Massachusetts health insurance reform to estimate the potential effects of the ACA on SSDI and SSI applications.


2016 ◽  
Vol 43 ◽  
pp. 151-158 ◽  
Author(s):  
Marcus O. Dillender ◽  
Carolyn J. Heinrich ◽  
Susan N. Houseman

2014 ◽  
Vol 45 ◽  
pp. 315-329 ◽  
Author(s):  
Gary D. Hansen ◽  
Minchung Hsu ◽  
Junsang Lee

2014 ◽  
Vol 25 (1A) ◽  
pp. 95-108 ◽  
Author(s):  
Karen M. Freund ◽  
Alexis P. Isabelle ◽  
Amresh D. Hanchate ◽  
Richard L. Kalish ◽  
Alok Kapoor ◽  
...  

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