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Labor mobility and the Affordable Care Act

Heterogeneous impacts of the preexisting conditions provision

Dados Bibliográficos

ID11684238
AutoresLinda Connolly (0000-0002-8831-1297, Michigan Technological University), Laura Connolly (Michigan Technological University Houghton Michigan USA), Matt Hampton (Austin Peay State University Clarksville Tennessee USA), Otto Lenhart (0000-0003-0949-4820, University of Strathclyde Glasgow UK, autor correspondente)
Ano2023
Volume43
Fascículo1
Páginas157-191
Data de publicação2023-08-20
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJournal of Policy Analysis and Management (JOURNAL)
Identificadores do periódicoISSN: 0276-8739 • E-ISSN: 1520-6688
EditoraWiley (PUBLISHER • GB)
DOI10.1002/pam.22521
OpenAlexW4386023453
IdiomaEN
Referências citadas54

The Patient Protection and Affordable Care Act (ACA) preexisting conditions provision ensures that insurance companies can no longer deny coverage, charge higher premiums, or exclude coverage due to a preexisting health condition. In this paper, we evaluate the impact of the provision on labor mobility. We use data from the Panel Study of Income Dynamics for years 2009 through 2019 and estimate difference‐in‐differences models to determine whether the provision improved labor mobility for individuals with chronic conditions. While females respond along the extensive margin by being less likely to work, males experience broader labor mobility improvements. Men are more likely to start a new job, become employed in a different industry, and move to a different state in the post‐policy period. Labor mobility improvements are largest among males with household incomes greater than 138% of the federal poverty level, males ages 35 to 49, and males with conditions first diagnosed more than 10 years ago. Last, we show that the policy improved access to health insurance coverage and reduced the likelihood that health impacts the amount or type of work, which ultimately increased labor market flexibility. Our results highlight the heterogenous impacts of the provision on different subgroups of the population

Business · Current Population Survey · Demographic economics · Economic growth · Economics · Environmental health · Flexibility (engineering · Health care · Health insurance · Labor mobility · Labour economics · Margin (machine learning · Panel data · Panel Study of Income Dynamics · Patient Protection and Affordable Care Act · Population · Poverty · Work (physics · Employment and Welfare Studies · Global Health Care Issues · Medicine · Retirement, Disability, and Employment

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