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The Effect of the Affordable Care Act Medicaid Expansion on Migration

Bibliographic Data

ID11684190
AuthorsLucas Goodman (0009-0005-1826-5079, corresponding author)
Year2016
Volume36
Issue1
Pages211-238
Publication date2016-11-26
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Policy Analysis and Management (JOURNAL)
Journal identifiersISSN: 0276-8739 • E-ISSN: 1520-6688
PublisherWiley (PUBLISHER • GB)
DOI10.1002/pam.21952
PMID27992152
OpenAlexW2557493999
LanguageEN
Citations received14
References cited27

The expansion of Medicaid to low-income nondisabled adults is a key component of the Affordable Care Act's strategy to increase health insurance coverage, but many states have chosen not to take up the expansion. As a result, for many low-income adults, there has been stark variation across states in access to Medicaid since the expansions took effect in 2014. This study investigates whether individuals migrate in order to gain access to these benefits. Using an empirical model in the spirit of a difference-in-differences, this study finds that migration from non-expansion states to expansion states did not increase in 2014 relative to migration in the reverse direction. The estimates are sufficiently precise to rule out a migration effect that would meaningfully affect the number of enrollees in expansion states, which suggests that Medicaid expansion decisions do not impose a meaningful fiscal externality on other states

Affect (linguistics · Business · Demographic economics · Economic growth · Economics · Externality · Health care · Health insurance · Medicaid · Microeconomics · Patient Protection and Affordable Care Act · Public economics · Employment and Welfare Studies · Global Health Care Issues · Healthcare Policy and Management · Psychology

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Unique citing works14
Citations per year1,75
Citation span2018 - 2026 (9)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 14
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