The Relationship Between Medicaid Expansion and Premiums in the Individual Market: A County-Level Analysis

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Release : 2018
Genre : Political planning
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The Relationship Between Medicaid Expansion and Premiums in the Individual Market: A County-Level Analysis - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook The Relationship Between Medicaid Expansion and Premiums in the Individual Market: A County-Level Analysis write by Emma Chapman. This book was released on 2018. The Relationship Between Medicaid Expansion and Premiums in the Individual Market: A County-Level Analysis available in PDF, EPUB and Kindle. The Patient Protection and Affordable Care Act (ACA) was designed to increase access to affordable health coverage by reforming the individual health insurance market and expanding eligibility for Medicaid, the insurance program targeted towards low-income individuals. Since its passage, however, the ACA has been plagued by criticisms that it has produced significant premium hikes. Moreover, many states chose not to expand their Medicaid programs. I examine whether there is a relationship between Medicaid expansion decisions and insurance premiums in the individual market. Because Medicaid expansions remove lower income individuals from individual insurance markets - and since these individuals tend to have poorer health outcomes - premiums in the private insurance market could be lower in expansion states where the private market is priced for a healthier risk pool. My results indicate that this may not be the case: I find that there is a positive and statistically significant relationship between Medicaid expansion and premiums, although this relationship is small in magnitude. I also find, however, that the relationship is the opposite for states that retained some measure of control over the administration of their marketplaces. This finding makes a novel contribution to the literature by demonstrating how state-level policy decisions can impact the success of national legislation. My study also illustrates the need for additional research into the impact of Medicaid expansions on premiums, as studies conducted to date have found contradicting results.

Spillover Effects of Medicaid Expansion on Private Premiums

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Release : 2019
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Spillover Effects of Medicaid Expansion on Private Premiums - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Spillover Effects of Medicaid Expansion on Private Premiums write by Cameron Ellis. This book was released on 2019. Spillover Effects of Medicaid Expansion on Private Premiums available in PDF, EPUB and Kindle. The Affordable Care Act is one of the most debated and dividing pieces of legislation in recent memory. One of the main elements of the ACA is the optional expansion of Medicaid eligibility to 138 % of the federal poverty line. The current debate has focused on the direct effects of the newly covered vs. the accounting cost of doing so, but there are also important other spillover effects to consider. In states that refused the Medicaid expansion, there exists a coverage gap that the private market will, at least partially, pick up. This gap, and the portion picked up, are not random and systematically exhibit higher expected costs. This raises prices for everyone taking part in the health insurance exchanges in states that refused the expansion. Our contribution is three-fold. We first confirm the interaction between the individual market and Medicaid expansion. We find that refusing the Medicaid expansion increases average monthly premiums by $22.94, an increase of 7.6 %. Our second and third contributions are more novel. We use a sharp discontinuity in the subsidy rates and find the premium increase is due to asymmetric information arising from the cost sharing reduction subsidies. We also provide a clean estimation of -0.34 for the price elasticity of healthcare in a pseudo-random experimental setting. Finally, we are able to separate the asymmetric information effect into adverse selection and moral hazard and find the moral hazard effect dominates.

Brookings Papers on Economic Activity: Fall 2019

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Release : 2020-08-25
Genre : Business & Economics
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Book Rating : 293/5 ( reviews)

Brookings Papers on Economic Activity: Fall 2019 - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Brookings Papers on Economic Activity: Fall 2019 write by Janice Eberly. This book was released on 2020-08-25. Brookings Papers on Economic Activity: Fall 2019 available in PDF, EPUB and Kindle. Brookings Papers on Economic Activity (BPEA) provides academic and business economists, government officials, and members of the financial and business communities with timely research on current economic issues. Contents: All Medicaid Expansions Are Not Created Equal: The Geography and Targeting of the Affordable Care Act Craig Garthwaite, John Graves, Tal Gross, Zeynal Karaca, Victoria Marone, and Matthew J. Notowidigdo Policies and Payoffs to Addressing America’s College Graduation Deficit Christopher Avery, Jessica Howell, Matea Pender, and Bruce Sacerdote The Optimal Inflation Target and the Natural Rate of Interest Philippe Andrade, Jordi Galí, Hervé Le Bihan, and Julien Matheron Inflation Dynamics: Dead, Dormant, or Determined Abroad? Kristen J. Forbes Macri’s Macro: The Elusive Road to Stability and Growth Federico Sturzenegger Progressive Wealth Taxation Emmanuel Saez and Gabriel Zucman

A Shared Destiny

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Release : 2003-03-05
Genre : Medical
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Book Rating : 570/5 ( reviews)

A Shared Destiny - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook A Shared Destiny write by Institute of Medicine. This book was released on 2003-03-05. A Shared Destiny available in PDF, EPUB and Kindle. A Shared Destiny is the fourth in a series of six reports on the problems of uninsurance in the United States. This report examines how the quality, quantity, and scope of community health services can be adversely affected by having a large or growing uninsured population. It explores the overlapping financial and organizational basis of health services delivery to uninsured and insured populations, the effects of community uninsurance on access to health care locally, and the potential spillover effects on a community's economy and the health of its citizens. The committee believes it is both mistaken and dangerous to assume that the persistence of a sizable uninsured population in the United States harms only those who are uninsured.

Health-Care Utilization as a Proxy in Disability Determination

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Release : 2018-04-02
Genre : Medical
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Book Rating : 21X/5 ( reviews)

Health-Care Utilization as a Proxy in Disability Determination - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Health-Care Utilization as a Proxy in Disability Determination write by National Academies of Sciences, Engineering, and Medicine. This book was released on 2018-04-02. Health-Care Utilization as a Proxy in Disability Determination available in PDF, EPUB and Kindle. The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.