Does Universal Coverage Improve Health? The Massachusetts Experience

Courtemanche, Charles; Zapata, Daniela

doi:10.3386/w17893

Cited by 76 publications

(120 citation statements)

References 38 publications

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“…For single women aged 20 to 34, the coefficient estimate (standard error) is now -0.0477 (0.0246) and for married women the estimates are 0.0672 (0.0531). Comparing these coefficient estimates to those in column (1) of Table 6, one can see that the exclusion of these states from the control group has little impact, a finding consistent with Kolstad and Kowalski (2012) and Courtemanche and Zapata (2014).…”

Section: Vi3 Extensionssupporting

confidence: 64%

“…The estimate of the impact of insurance coverage, 1 , is identified from how Massachusetts' changing health 18 The large majority of papers studying the effect of the Massachusetts healthcare law use some form of difference-in-differences identification strategy. See, for example, Kolstad and Kowalski (2012a), Courtemanche and Zapata (2014), Yelowitz and Cannon (2010), Long et al (2009), andMiller (2012a). 19 Similar methods for constructing a policy variable are consistently used by the literature examining the effect of Medicaid expansions on various outcomes.…”

Section: Vi1 Empirical Frameworkmentioning

confidence: 99%

“…9 Several studies find different responses by white women (Joyce, Kaestner, and Kwan, 1998;Zavodny and Bitler, 2010;Yelowitz, 1994;DeLeire, Lopoo and Simon, 2011) and 6 Other outcomes include health (Courtemanche and Zapata, 2014;Miller 2012b;Yelowitz and Cannon;, insurance crowd-out (Long, 2008;Miller 2012b;Kolstad and Kowalski, 2012a;Yelowitz and Cannon, 2010), labor markets (Kolstad and Kowalski, 2012b), and adverse selection (Hackmann, Kolstrad, and Kowalski, 2012). 7 Official estimates for the uninsured rate in Massachusetts in 2008 were 2.6 percent, but Yelowitz and Cannon (2010) find that uninsured rates are underreported because the reform incentivizes people to hide their true status if they are uninsured.…”

mentioning

confidence: 99%

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Health Insurance, Fertility, and the Wantedness of Pregnancies: Evidence from Massachusetts

Apostolova-Mihaylova

Yelowitz

2015

SSRN Journal

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Health insurance reform in Massachusetts lowered the financial cost of both pregnancy (by increased coverage of pregnancy-related medical events) and pregnancy prevention (by increasing access to reliable contraception and family planning). We examine fertility responses for women of childbearing age in Massachusetts and, on net, find no effect from increasing health insurance coverage. This finding, however, masks substantial heterogeneity. For married women aged 20 to 34 -who have high latent fertility and for whom pregnancies are typically wanted -fertility increased by approximately 1 percent. For unmarried women in the same age range -for whom pregnancies are typically unwanted -fertility declined by 9 percent. Fertility rates changed very little for other groups, in part because of low latent fertility or minimal gains in insurance coverage. Pregnancy wantedness increased in the aggregate through a combination of increasing wanted births and decreasing unwanted births.

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Section: Vi3 Extensionssupporting

confidence: 64%

Section: Vi1 Empirical Frameworkmentioning

confidence: 99%

mentioning

confidence: 99%

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Health Insurance, Fertility, and the Wantedness of Pregnancies: Evidence from Massachusetts

Apostolova-Mihaylova

Yelowitz

2015

SSRN Journal

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“…Van der Wees et al (2013) and Courtmanche and Zapata (2014) find that the reform also improved adults' self-assessed health, though an earlier study by Yelowitz and Cannon (2010) did not observe a statistically significant result. Courtemanche and Zapata (2014) also estimate that the reform reduced body mass index (BMI). Sommers et al (2014) present evidence that the reform reduced mortality rates, though Kaestner (2015) disputes this finding.…”

Section: Effects Of Pre-2014 Insurance Interventionsmentioning

confidence: 99%

Early Effects of the Affordable Care Act on Health Care Access, Risky Health Behaviors, and Self-Assessed Health

Courtemanche¹,

Marton²,

Ukert³

et al. 2017

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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. Any opinions expressed in this paper are those of the author(s) and not those of IZA. Research published in this series may include views on policy, but IZA takes no institutional policy positions. The IZA research network is committed to the IZA Guiding Principles of Research Integrity. The IZA Institute of Labor Economics is an independent economic research institute that conducts research in labor economics and offers evidence-based policy advice on labor market issues. Supported by the Deutsche Post Foundation, IZA runs the world's largest network of economists, whose research aims to provide answers to the global labor market challenges of our time. Our key objective is to build bridges between academic research, policymakers and society. IZA Discussion Papers often represent preliminary work and are circulated to encourage discussion. Citation of such a paper should account for its provisional character. A revised version may be available directly from the author. Terms of use: Documents in James Marton Georgia State University Benjamin Ukert University of Pennsylvania Aaron Yelowitz University of Kentucky Daniela Zapata IMPAQ InternationalAbstrAct mArch 2017 IZA DP No. 10649 Early Effects of the Affordable Care Act on Health Care Access, Risky Health Behaviors, and Self-Assessed Health * The goal of the Affordable Care Act (ACA) was to achieve nearly universal health insurance coverage through a combination of mandates, subsidies, marketplaces, and Medicaid expansions, most of which took effect in 2014. We use data from the Behavioral Risk Factor Surveillance System to examine the impacts of the ACA on health care access, risky health behaviors, and self-assessed health after two years. We estimate difference-in-differencein-differences models that exploit variation in treatment intensity from state participation in the Medicaid expansion and pre-ACA uninsured rates. Results suggest that the ACA led to sizeable improvements in access to health care in both Medicaid expansion and nonexpansion states, with the gains being larger in expansion states along some dimensions.No statistically significant effects on risky behaviors or self-assessed health emerge for the full sample. However, we find some evidence that the ACA improved self-assessed health among older non-elderly adults, particularly in expansion states. JEL Classification:I12, I13, I18

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“…Courtemanche and Zapata (2014) analyzed the outcome of those amendments [3]. These researches, explicitly and implicitly, analyzed and discussed the consequences of Affordable Care Act (or Obamacare).…”

Section: Assumptionmentioning

confidence: 99%

Effects on Welfare Brought by Changes in Taxation - Focusing on Low-income Population in America

Zheng¹

2017

Proceedings of the 2017 International Conference on Education Science and Economic Management (ICESEM 2017)

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Abstract-Taxations policies have been a controversial topic debated by the government of the US for many years. This article will focus on Obamacare, using analysis of variance, to study trends in the college enrollement rates, employment rates, and marriage stability in the US. Trends in averages demonstrate that college enrollments, employment rates, and marriage stability all increase after the legislation of Obamacare; however, the result of variance analysis proves that changes in these three areas (college enrollments, employment rates, marriage) are not significant. This shows that Obamacare did not significantly improve welfare of the low-income population in the US.

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Does Universal Coverage Improve Health? The Massachusetts Experience

Abstract: Abstract

Cited by 76 publications

References 38 publications

Health Insurance, Fertility, and the Wantedness of Pregnancies: Evidence from Massachusetts

Health Insurance, Fertility, and the Wantedness of Pregnancies: Evidence from Massachusetts

Early Effects of the Affordable Care Act on Health Care Access, Risky Health Behaviors, and Self-Assessed Health

Effects on Welfare Brought by Changes in Taxation - Focusing on Low-income Population in America

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