scholarly journals The Effect of Medicaid Expansions for Low-Income Children on Medicaid Participation and Insurance Coverage: Evidence from the SIPP

10.3386/w8063 ◽  
2001 ◽  
Author(s):  
John Ham ◽  
Lara Shore-Sheppard
Keyword(s):  
Low Income ◽  
Insurance Coverage ◽  
Low Income Children ◽  
Medicaid Expansions

The Effect of Parents' Insurance Coverage on Access to Care for Low-Income Children

2003 ◽  
Vol 40 (3) ◽  
pp. 254-268 ◽  
Author(s):  
Amy Davidoff ◽  
Lisa Dubay ◽  
Genevieve Kenney ◽  
Alshadye Yemane
Keyword(s):  
Access To Care ◽  
Low Income ◽  
Insurance Coverage ◽  
Spillover Effects ◽  
Medical Provider ◽  
Low Income Children ◽  
Point Reduction ◽  
Percentage Points ◽  
Well Child Visit ◽  
Child Visit

This study examines the effects of having an uninsured parent on access to health care for low-income children. Using data from the 1999 National Survey of America's Families, we find that having an uninsured parent decreases the likelihood that a child will have any medical provider visit by 6.5 percentage points, and decreases the likelihood of a well-child visit by 6.7 percentage points. Estimates for low-income children who have insurance but have an uninsured parent indicate a 4.1 percentage-point reduction in the probability of having any medical provider visit, and a similar 4.2 percentage-point reduction in the probability of having a well-child visit relative to those with insured parents. The effects of having an uninsured parent are smaller in magnitude than the effects of a child being uninsured. Efforts to increase insurance coverage of parents, either by extending eligibility for public insurance or through other policy interventions, will have positive spillover effects on access to care for children. Although the magnitude of these effects is small relative to the direct effect of providing insurance to either the child or parent, they should be considered in analyses of costs and benefits of proposed policies.

scholarly journals Stemming the Tide? The Effect of Expanding Medicaid Eligibility On Health Insurance Coverage

2008 ◽  
Vol 8 (2) ◽  
Author(s):  
Lara D. Shore-Sheppard
Keyword(s):  
Low Income ◽  
Private Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Crowding Out ◽  
Low Income Children ◽  
Considerable Research ◽  
Medicaid Eligibility ◽  
Crowd Out ◽  
The Impact

Abstract Despite considerable research, there is little consensus about the impact of Medicaid eligibility expansions for low-income children. In this paper, I reexamine the expansions’ impact on Medicaid take-up and private insurance “crowd-out” by investigating a number of critiques leveled at the seminal work of Cutler and Gruber (1996) and extending the analysis to include further expansions of Medicaid. I find that accounting for most critiques of Cutler and Gruber does not substantively affect their estimates of sizable take-up and crowd-out. However, controlling for age-specific time trends does substantially reduce the estimated take-up and crowd-out and recovers results close to those found elsewhere in the literature. I also find that later expansions generated much lower rates of take-up and crowding out.

scholarly journals Four Years Later: Insurance Coverage and Access to Care Continue to Diverge between ACA Medicaid Expansion and Non-Expansion States

2019 ◽  
Vol 109 ◽  
pp. 327-333 ◽  
Author(s):  
Sarah Miller ◽  
Laura R. Wherry
Keyword(s):  
Affordable Care Act ◽  
Low Income ◽  
Access To Health Care ◽  
Insurance Coverage ◽  
Medicaid Expansion ◽  
Access To Health ◽  
Interview Survey ◽  
Using Data ◽  
The Impact ◽  
Medicaid Expansions

This paper evaluates the impact of the Affordable Care Act Medicaid expansions four years after implementation using data from the 2010-2017 National Health Interview Survey. We find that low-income adults in states that implemented the Medicaid expansions experienced increases in insurance and Medicaid coverage and improvements in access to health care across several measures.

scholarly journals Social Effects of Health Care Reform

2017 ◽  
Vol 3 ◽  
pp. 237802311770090
Author(s):  
Heeju Sohn ◽  
Stefan Timmermans
Keyword(s):  
Public Health ◽  
Low Income ◽  
Minority Groups ◽  
Insurance Coverage ◽  
Well Being ◽  
Social Consequences ◽  
Volunteer Work ◽  
Health Coverage ◽  
Medicaid Eligibility ◽  
Medicaid Expansions

Do public health policy interventions result in prosocial behaviors? The Patient Protection and Affordable Care Act’s Medicaid expansions were responsible for the largest gains in public insurance coverage since its inception in 1965. These gains were concentrated in states that opted to expand Medicaid eligibility, and they provide a unique opportunity to study not just medical but also social consequences of increased public health coverage. The authors examine the association between Medicaid and volunteer work. Volunteerism is implicated in individuals’ health and well-being, yet it is highly correlated with a person’s existing socioeconomic resources. Medicaid expansions improved financial security and a sense of health, two factors that predict volunteer work, for a socioeconomic group that has had low levels of volunteerism. Difference-in-difference analyses of the volunteer supplement of the Current Population Survey (2010–2015) find increased reports of formal volunteering for organizations as well as informal helping behaviors between neighbors for low-income nonelderly adults who would have likely benefited from expansions. Furthermore, increased volunteer work associated with Medicaid was greater among minority groups and narrowed existing ethnic differences in volunteerism in states that expanded Medicaid eligibility.

The Emergence of the New Era of Reform

2017 ◽  
pp. 36-59
Author(s):  
Gunnar Almgren
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Low Income ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Successful Implementation ◽  
Health Security ◽  
New Era ◽  
Low Income Children ◽  
Working Families

The chapter begins with a review of the efforts to reform health care in ways that would assure health care for all Americans, beginning with Progressive Era reforms in the early 1900’s through the William Clinton administration’s ill-fated Health Security Act in the early 1990’s. After delving into the less ambitious reforms of late 1900’s aimed at cost-containment and incremental expansions of health insurance coverage for low-income children, the chapter examines the devolution of the employment-based insurance for working families was pivotal to the economic and political context of the Affordable Care Act (ACA) of 2009 –the first federal legislation in U.S. history to advance universal health insurance for all American citizens as its central goal. The chapter concludes with a prognosis for the successful implementation of the ACA, as well as its long term prospects.

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