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Displaying results 1 to 8 of 8.

  1. How do low-income enrollees in the affordable care act marketplaces respond to cost sharing?
    Author: Lavetti, Kurt; DeLeire, Thomas C.; Ziebarth, Nicolas R.
    Published: [2023]
    Publisher:  ZEW - Leibniz Centre for European Economic Research, Mannheim, Germany

    The Affordable Care Act requires insurers to offer cost sharing reductions (CSRs) to low-income consumers on the Marketplaces. We link 2013-2015 All-Payer Claims Data to 2004-2013 administrative hospital discharge data from Utah and exploit... more

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    Verlag (kostenfrei)
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    Resolving-System (kostenfrei)

    Location:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Signature:
    DS 15
    Inter-library loan:
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    Location:
    Universitätsbibliothek Mannheim
    Inter-library loan:
    No inter-library loan

     

    The Affordable Care Act requires insurers to offer cost sharing reductions (CSRs) to low-income consumers on the Marketplaces. We link 2013-2015 All-Payer Claims Data to 2004-2013 administrative hospital discharge data from Utah and exploit policy-driven differences in the actuarial value of CSR plans that are solely determined by income. This allows us to examine the effect of cost sharing on medical spending among low-income individuals. We find that enrollees facing lower levels of cost sharing have higher levels of health care spending, controlling for past health care use. We estimate demand elasticities of total health care spending among this low-income population of approximately -0.12, suggesting that demand-side price mechanisms in health insurance design work similarly for low-income and higher-income individuals. We also find that cost sharing subsidies substantially lower out-of-pocket medical care spending, showing that the CSR program is a key mechanism for making health care affordable to low-income individuals.

     
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    Source: Union catalogues
    Language: English
    Media type: Book
    Format: Online
    Other identifier:
    hdl: 10419/280989
    Series: Discussion paper / ZEW ; no. 23, 049 (11/2023)
    Subjects: demand elasticities; health insurance; moral hazard; ACA; marketplaces; AV-variants; low-value care; lifestyle drugs; value-based CSRs; Utah
    Scope: 1 Online-Ressource (circa 50 Seiten), Illustrationen
  2. The economics of work schedules under the new hours and employment taxes
    Author: Mulligan, Casey B.
    Published: 2014

    Location:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Signature:
    W 1 (19936)
    Inter-library loan:
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    Source: Union catalogues
    Language: English
    Media type: Book
    Format: Print
    Series: NBER working paper series ; 19936
    Subjects: Gesundheitsreform; Wirkungsanalyse; Arbeitsangebot; Arbeitszeit; Einkommensteuer; Sozialversicherungsbeitrag; Beschäftigungseffekt; USA; Gesetzliche Krankenversicherung; ACA
    Scope: 34 S., graph. Darst.
    Notes:

    Parallel als Online-Ausg. erschienen
  3. The early impact of the affordable care act State-By-State
    Author: Kowalski, Amanda E.
    Published: 2014
    Publisher:  Cowles Foundation for Research in Economics, Yale Univ., New Haven, Conn.

    Location:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Signature:
    VS 29 (1959)
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    Content information
    Source: Union catalogues
    Language: English
    Media type: Book
    Format: Online
    Series: Cowles Foundation discussion paper ; 1959
    Subjects: Gesundheitsreform; Gesetzliche Krankenversicherung; Wirkungsanalyse; Krankenversicherung; Versicherungsmarkt; Kosten-Nutzen-Analyse; Wohlfahrtsanalyse; Teilstaat; Theorie; USA; ACA
    Scope: Online-Ressource (50 S.), graph. Darst.
  4. The early impact of the affordable care act state-by-state
    Author: Kowalski, Amanda E.
    Published: 2014

    Location:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Signature:
    W 1 (20597)
    Inter-library loan:
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    Source: Union catalogues
    Language: English
    Media type: Book
    Format: Print
    Series: NBER working paper series ; 20597
    Subjects: Gesundheitsreform; Gesetzliche Krankenversicherung; Wirkungsanalyse; Krankenversicherung; Versicherungsmarkt; Kosten-Nutzen-Analyse; Wohlfahrtsanalyse; Teilstaat; USA; ACA
    Scope: 50 S., graph. Darst.
    Notes:

    Parallel als Online-Ausg. erschienen
  5. Marketplace plan payment options for dealing with high-cost enrollees
    Author: Layton, Timothy J.; McGuire, Thomas G.
    Published: August 2016
    Publisher:  National Bureau of Economic Research, Cambridge, MA

    Location:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Signature:
    W 1 (22519)
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    Source: Union catalogues
    Language: English
    Media type: Book
    Format: Print
    Series: Working paper series / National Bureau of Economic Research ; 22519
    Subjects: Gesetzliche Krankenversicherung; Risikomodell; Gesundheitskosten; Gesundheitsfinanzierung; Rückversicherung; USA; Gesetzliche Krankenversicherung; ACA; Obamacare
    Scope: 35 Seiten, Illustrationen
    Notes:

    Erscheint auch als Online-Ausgabe
  6. Who did the Affordable Care Act Medicaid expansion impact?
    using linear discriminant analysis to estimate the probability of being a complier
    Author: Chu, Benjamin C.
    Published: August 2022
    Publisher:  University of Hawai'i at Mānoa, Department of Economics, Honolulu, HI

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    Verlag (kostenfrei)

    Location:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Signature:
    VS 676
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    Source: Union catalogues
    Language: English
    Media type: Book
    Format: Online
    Series: Working paper series / University of Hawai'i at Mānoa, Department of Economics ; no. 22, 02
    Subjects: Medicaid; ACA; Complier; Linear discriminant analysis
    Scope: 1 Online-Ressource (circa 73 Seiten), Illustrationen
  7. Medicaid expansion and the mental health of spousal caregivers
    Author: Costa-Font, Joan; Raut, Nilesh; Van Houtven, Courtney Harold
    Published: September 2021
    Publisher:  CESifo, Center for Economic Studies & Ifo Institute, Munich, Germany

    Health insurance expansions can exert wellbeing effects on individuals who provide informal care to their loved ones, reducing their experience of depression. This study exploits evidence from the Affordable Care Act’s (ACA) Medicaid expansion to... more

    Access:
    Verlag (kostenfrei)
    Verlag (kostenfrei)
    Resolving-System (kostenfrei)

    Location:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Signature:
    DS 63
    Inter-library loan:
    No inter-library loan

     

    Health insurance expansions can exert wellbeing effects on individuals who provide informal care to their loved ones, reducing their experience of depression. This study exploits evidence from the Affordable Care Act’s (ACA) Medicaid expansion to examine the effects on the mental wellbeing of informal caregivers. Drawing on an event study and a Difference-in-Differences (DID) design we investigate the policy impact of ACA Medicaid expansion using longitudinal evidence (from the Health and Retirement Study, HRS) for 2010 to 2018 for low-income individuals aged 64 or below. We find that ACA’s Medicaid expansion reduced depressive symptoms among caregivers, and specifically we estimate that exposure to ACA Medicaid expansion gives rise to a 0.38 points (equivalent to 4-5%) reduction in the CESD score (a negative scale in which the lowest scale indicates the best mental wellbeing). We also find that ACA Medicaid causes a spillover effect at the household level, improving the well-being of the spouse care recipient. Our results are robust to various specifications, and we identify several potential driving mechanisms for the findings: reductions in out of -pocket expenses and labor supply and, as expected, increased Medicaid uptake. The evidence from falsification tests confirms that the estimated effects are purely due to ACA’s Medicaid expansion and no other phenomena.

     
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    Source: Union catalogues
    Language: English
    Media type: Book
    Format: Online
    Other identifier:
    hdl: 10419/245511
    Series: CESifo working paper ; no. 9330 (2021)
    Subjects: insurance expansion; Medicaid; mental wellbeing; ACA; spousal mental health; informal care
    Scope: 1 Online-Ressource (circa 35 Seiten), Illustrationen
  8. Medicaid expansion and the mental health of spousal caregivers
    Author: Costa-Font, Joan; Raut, Nilesh; Van Houtven, Courtney Harold
    Published: September 2021
    Publisher:  IZA - Institute of Labor Economics, Bonn, Germany

    Health insurance expansions can exert wellbeing effects on individuals who provide informal care to their loved ones, reducing their experience of depression. This study exploits evidence from the Affordable Care Act's (ACA) Medicaid expansion to... more

    Access:
    Verlag (kostenfrei)
    Verlag (kostenfrei)
    Resolving-System (kostenfrei)

    Location:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Signature:
    DS 4
    Inter-library loan:
    No inter-library loan

     

    Health insurance expansions can exert wellbeing effects on individuals who provide informal care to their loved ones, reducing their experience of depression. This study exploits evidence from the Affordable Care Act's (ACA) Medicaid expansion to examine the effects on the mental wellbeing of informal caregivers. Drawing on an event study and a Difference-in-Differences (DID) design we investigate the policy impact of ACA Medicaid expansion using longitudinal evidence (from the Health and Retirement Study, HRS) for 2010 to 2018 for low-income individuals aged 64 or below. We find that ACA's Medicaid expansion reduced depressive symptoms among caregivers, and specifically we estimate that exposure to ACA Medicaid expansion gives rise to a 0.38 points (equivalent to 4-5%) reduction in the CESD score (a negative scale in which the lowest scale indicates the best mental wellbeing). We also find that ACA Medicaid causes a spillover effect at the household level, improving the well-being of the spouse care recipient. Our results are robust to various specifications, and we identify several potential driving mechanisms for the findings: reductions in out-of-pocket expenses and labor supply and, as expected, increased Medicaid uptake. The evidence from falsification tests confirms that the estimated effects are purely due to ACA's Medicaid expansion and no other phenomena.

     
    Export to reference management software   RIS file
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    Source: Union catalogues
    Language: English
    Media type: Book
    Format: Online
    Other identifier:
    hdl: 10419/250415
    Series: Discussion paper series / IZA ; no. 14754
    Subjects: insurance expansion; Medicaid; mental wellbeing; ACA; spousal mental health; informal care
    Scope: 1 Online-Ressource (circa 35 Seiten), Illustrationen