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Aging Out” of Dependent Coverage and the Effects on US Labor Market and Health Insurance Choices

Bibliographic Data

ID11024846
AuthorsHeather M Dahlen (At the time of the study, Heather M. Dahlen was a PhD candidate with the Department of Applied Economics, University of Minnesota, Minneapolis.), Heather Dahlen (0000-0001-7182-382X, University of Minnesota, corresponding author)
Year2015
Volume105
IssueS5
PagesS640-S650
Publication date2015-11-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2015.302791
PMID26447916
OpenAlexW3046190272
LanguageEN
Citations received8
References cited9

Objectives. I examined how labor market and health insurance outcomes were affected by the loss of dependent coverage eligibility under the Patient Protection and Affordable Care Act (ACA). Methods. I used National Health Interview Survey (NHIS) data and regression discontinuity models to measure the percentage-point change in labor market and health insurance outcomes at age 26 years. My sample was restricted to unmarried individuals aged 24 to 28 years and to a period of time before the ACA’s individual mandate (2011–2013). I ran models separately for men and women to determine if there were differences based on gender. Results. Aging out of this provision increased employment among men, employer-sponsored health insurance offers for women, and reports that health insurance coverage was worse than it was 1 year previously (overall and for young women). Uninsured rates did not increase at age 26 years, but there was an increase in the purchase of non–group health coverage, indicating interest in remaining insured after age 26 years. Conclusions. Many young adults will turn to state and federal health insurance marketplaces for information about health coverage. Because young adults (aged 18–29 years) regularly use social media sites, these sites could be used to advertise insurance to individuals reaching their 26th birthdays

Demographic economics · Economic growth · Economics · Environmental health · Health care · Health insurance · Mandate · Medical Expenditure Panel Survey · National Health Interview Survey · Patient Protection and Affordable Care Act · Political science · Population · Regression discontinuity design · Demography · Healthcare Policy and Management · Healthcare Systems and Reforms · Medicine · Patient Satisfaction in Healthcare · Gerontology

  • Competing Public and Private Television Advertising Campaigns and Marketplace Enrollment for 2015 to 2018

    Open Access•Paul Shafer, David M Anderson et al.•RSF The Russell Sage Foundation…•2020

  • Aging out of the federal dependent coverage mandate and purchases of prescription drugs with high rates of misuse

    Open Access•Michael DiNardi•Economics & Human Biology•2021

  • The 26‐year threshold in a high‐uninsured state

    Open Access•Dajung Jun•Contemporary Economic Policy•2026

  • Age-based health insurance coverage policies and mental health

    Open Access•Barış K Yörük, Yiran Han•Journal of Population Economics•2024

  • Health Insurance and Young Adult Financial Distress

    Open Access•Nathan Blascak, Vyacheslav Mikhed•Journal of Policy Analysis and…•2022

  • Impact of the Patient Protection and Affordable Care Act

    Graham Atkinson, Theodore Giovanis•American Journal of Public Health•2015

  • Changes to the Design of the National Health Interview Survey to Support Enhanced Monitoring of Health Reform Impacts at the State Level

    Lynn A Blewett, Heather M Dahlen et al.•American Journal of Public Health•2016

  • The Effect of the Affordable Care Act Dependent Coverage Mandate on Health Insurance and Labor Supply

    Open Access•Daeho Kim•Industrial and Labor Relations…•2022

  • The Affordable Care Act Has Led To Significant Gains In Health Insurance And Access To Care For Young Adults

    Benjamin D Sommers, Thomas C Buchmueller et al.•Health Affairs•2013

  • The Effect of the Medicaid Program on Welfare Participation and Labor Supply

    Robert Moffitt, Betsy Wolfe et al.•The Review of Economics and…•1992

Citations per year0.73
Citation span2015 - 2026 (12)
Highly citedNo

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