000 02143cam a22003617 4500
001 w25153
003 NBER
005 20211020104358.0
006 m o d
007 cr cnu||||||||
008 210910s2018 mau fo 000 0 eng d
100 1 _aCarey, Colleen M.
245 1 4 _aThe Impact of Insurance Expansions on the Already Insured:
_bThe Affordable Care Act and Medicare /
_cColleen M. Carey, Sarah Miller, Laura R. Wherry.
260 _aCambridge, Mass.
_bNational Bureau of Economic Research
_c2018.
300 _a1 online resource:
_billustrations (black and white);
490 1 _aNBER working paper series
_vno. w25153
500 _aOctober 2018.
520 3 _aSome 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.
530 _aHardcopy version available to institutional subscribers
538 _aSystem requirements: Adobe [Acrobat] Reader required for PDF files.
538 _aMode of access: World Wide Web.
588 0 _aPrint version record
690 7 _aH51 - Government Expenditures and Health
_2Journal of Economic Literature class.
690 7 _aI1 - Health
_2Journal of Economic Literature class.
690 7 _aI11 - Analysis of Health Care Markets
_2Journal of Economic Literature class.
700 1 _aMiller, Sarah.
700 1 _aWherry, Laura R.
710 2 _aNational Bureau of Economic Research.
830 0 _aWorking Paper Series (National Bureau of Economic Research)
_vno. w25153.
856 4 0 _uhttps://www.nber.org/papers/w25153
856 _yAcceso en lĂ­nea al DOI
_uhttp://dx.doi.org/10.3386/w25153
942 _2ddc
_cW-PAPER
999 _c322969
_d281531