How Did SCHIP Affect the Insurance Coverage of Immigrant Children?

Buchmueller, Thomas C.; Sasso, Anthony Lo; Wong, Kathleen

doi:10.3386/w13261

Cited by 10 publications

(12 citation statements)

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“…Alternatively, this finding could reflect misreporting of Medicaid as direct-purchase coverage. Other papers (e.g., Buchmueller, Lo Sasso, and Wong [2008]) have found increases in reported direct-purchase coverage associated with other Medicaid expansions, and there is reason to believe such misreporting might be more prominent for the ACA state Medicaid expansions given the concurrent introduction of health insurance exchanges and the use of exchanges as channels for accessing Medicaid for those who sought exchange coverage but were deemed eligible for Medicaid based on their income. This explanation is consistent with evidence that some CPS ASEC respondents report their publicly subsidized exchange coverage as public coverage while some report their public coverage as having been purchased directly: In a validation study, Pascale, Call, Fertig, and Oellerich (2016) found that among those known to be enrolled in private coverage, 92.1% to 93.7% reported private coverage and only 69.0% to 79.8% of those known to be enrolled in public coverage reported having public coverage.…”

Section: Resultsmentioning

confidence: 99%

The Effect of ACA State Medicaid Expansions on Medical Out-of-Pocket Expenditures

Abramowitz

2018

Med Care Res Rev

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This article considers the extent to which Affordable Care Act state Medicaid expansions alleviated the burden of out-of-pocket costs associated with obtaining health insurance and medical care using data from the 2011 to 2016 Current Population Survey Annual Social and Economic Supplement. Using a difference-in-differences framework, the analysis examines effects of the Medicaid expansions on out-of-pocket expenditures for health insurance premiums and medical care, comparing expenditures across expansion and nonexpansion states before and after the expansions were implemented, performing separate analyses for individuals with family income at various eligibility cutoff levels in the first and second years of expansion implementation. The findings suggest that the expansions were associated with a relatively larger likelihood of having zero premium expenditures and of having zero nonpremium medical out-of-pocket expenditures for low-income individuals. These findings suggest that the expansions were effective in reducing medical out-of-pocket expenditures.

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Section: Resultsmentioning

confidence: 99%

The Effect of ACA State Medicaid Expansions on Medical Out-of-Pocket Expenditures

Abramowitz

2018

Med Care Res Rev

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“… See Blumberg et al (2000);Rosenbach et al (2001);Zuckerman and Lutzky (2001);;; Lo Sasso andBuchmueller (2004);Ham and Shore-Sheppard (2005);Hudson et al (2005);Bansak and Raphael (2006);Buchmueller et al (2008); andGruber and Simon (2008).…”

mentioning

confidence: 99%

Long-Term Impacts of Childhood Medicaid Expansions on Outcomes in Adulthood

Brown

Kowalski

Lurie

2019

The Review of Economic Studies

113

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We use administrative data from the Internal Revenue Service to examine long-term impacts of childhood Medicaid eligibility expansions on outcomes in adulthood at each age from 19 to 28. Greater Medicaid eligibility increases college enrolment and decreases fertility, especially through age 21. Starting at age 23, females have higher contemporaneous wage income, although male increases are imprecise. Together, both genders have lower mortality. These adults collect less from the earned income tax credit and pay more in taxes. Cumulatively from ages 19 to 28, at a 3% discount rate, the federal government recoups 58 cents of each dollar of its “investment” in childhood Medicaid.

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“…Johnson and Rimsza [18], and Gordon et al [19] revealed that uninsured children were nearly four times as likely to use the emergency department as insured children. Insufficient healthcare not only affects native born children, but also immigrant children [20,21].…”

Section: Literature Reviewmentioning

confidence: 99%

“…The impact of SCHIP on enrollment behavior, accessibility to healthcare services, utilization of healthcare services, and health status of children has been well documented [6][7][8][9]14,17,20,23]. However, little research has been done to examine the healthcare needs of children under each SCHIP program-SCHIP single, SCHIP combination or SCHIP Medicaid expansion-relative to children covered by Medicaid programs, while considering socio-economic and demographic factors.…”

Section: Literature Reviewmentioning

confidence: 99%