Better Late Than Never
Effects of Late ACA Medicaid Expansions for Parents on Family Health-Related Financial Well-Being
Bibliographic Data
| ID | 13775591 |
|---|---|
| Authors | Caitlin Mcpherran Lombardi (0000-0003-0261-8210, University of Connecticut, Storrs, CO, USA), Lindsey Rose Bullinger (0000-0002-7990-7363, Georgia Tech, Atlanta, GA, USA), Maithreyi Gopalan (0000-0002-1013-0672, Pennsylvania State University, University Park, PA, USA, corresponding author) |
| Year | 2022 |
| Volume | 59 |
| Pages | 469580221133215-469580221133215 |
| Publication date | 2022-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | INQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL) |
| Journal identifiers | ISSN: 0046-9580 • E-ISSN: 1945-7243 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/00469580221133215 |
| PMID | 36354062 |
| OpenAlex | W4308771499 |
| Language | EN |
| References cited | 68 |
Public health insurance eligibility for low-income adults has improved adult economic well-being. But whether parental public health insurance eligibility has spillover effects on children's health insurance coverage and family health-related financial well-being is less understood. We use the 2016 to 2020 National Survey of Children's Health (NSCH) to estimate the effects of Medicaid expansions through the Affordable Care Act (ACA) for parents on child health insurance coverage, parents' employment decisions due to child health, and family health-related financial well-being. We compare children in low-income families in states that expanded Medicaid for parents after 2015 to states that never expanded in a difference-in-differences framework. We find that these expansions were associated with increases in children's public health insurance coverage by 5.5 percentage points and reductions in private coverage by 5 percentage points. We additionally find that parents were less likely to avoid changing jobs for health insurance reasons and children's medical expenses were less likely to exceed $1000. We find no evidence that the expansions affected children's dual coverage and uninsurance. Our estimates are robust to falsification and sensitivity analyzes. Our findings also suggest that benefits on children's medical expenses are concentrated in the families with the greatest financial need
Actuarial science · Business · Demographic economics · Economic growth · Economics · Health care · Health insurance · Medicaid · Public health · Public health insurance · Spillover effect · Food Security and Health in Diverse Populations · Healthcare Policy and Management · Medicine · Nursing · Primary Care and Health Outcomes
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Employment-Based Health Insurance and Job Mobility
Wild Bootstrap Inference for Wildly Different Cluster Sizes
The Effects Of Medicaid Expansion Under The ACA
Child care and parent labor force participation
The Lifelong Effects of Early Childhood Adversity and Toxic Stress
A Practitioner’s Guide to Cluster-Robust Inference
Null
How Much Should We Trust Differences-In-Differences Estimates?
Why States Expand Medicaid
Inference with Difference-in-Differences and Other Panel Data
Inference with “Difference in Differences” with a Small Number of Policy Changes
Effects of parental public health insurance eligibility on parent and child health outcomes
The Affordable Care Act’s Coverage Impacts in the Trump Era
The Affordable Care Act Attenuates Financial Strain According to Poverty Level
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How did the Affordable Care Act Medicaid Expansion Affect Coverage and Access to Care for Low-Income Parents Who Were Eligible for Medicaid Before the Law Was Passed
The Role of Marketplace Policy on Welcome Mat Effects for Children Eligible for Medicaid or the Children’s Health Insurance Program
Welcome Mats and On‐Ramps for Older Adults
The Impact of Health Insurance on Preventive Care and Health Behaviors
The ACA Medicaid Expansion in Michigan and Financial Health
Child Support and the Affordable Care Act's Medicaid Expansions
The Effect of Public Insurance Expansions on Substance Use Disorder Treatment
Effect of the Affordable Care Act’s Medicaid Expansions on Food Security, 2010–2016
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Public Insurance and Mortality
Work and Family Research in the First Decade of the 21st Century
| Highly cited | No |
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