Mandate-based health reform and the labor market: Evidence from the Massachusetts reform

Kolstad, Jonathan T.; Kowalski, Amanda

doi:10.1016/j.jhealeco.2016.01.010

Cited by 59 publications

(24 citation statements)

References 22 publications

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“…A great deal of interest focuses on the effectiveness of policy changes in accomplishing their stated objectives of increasing insurance coverage and health care utilization and investigating policies' impacts on health care costs or select types of care (Barbaresco, Courtemanche, & Qi, 2015;Brook et al, 1983;Burns et al, 2014;Chua & Sommers, 2014;Cogan, Hubbard, & Kessler, 2010;Courtemanche & Zapata, 2014;Currie & Gruber, 1996;Dafny & Gruber, 2005;DeLeire, Lopoo, & Simon, 2011;Finkelstein et al, 2012;Long & Masi, 2009;Long & Stockley, 2011;Miller, 2012;Sommers, Baicker, & Epstein, 2012;Sommers, Buchmueller, Decker, Carey, & Kronick, 2013;Sommers & Kronick, 2012). Other studies focus on the labor market effects of program participation (Baicker, Finkelstein, Song, & Taubman, 2014;Dave, Decker, Kaestner, & Simon, 2015;Kolstad & Kowalski, 2016).…”

Section: Relevant Literature and Backgroundmentioning

confidence: 99%

Impacts of the ACA Medicaid expansion on health behaviors: Evidence from household panel data

2018

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A motivation for increasing health insurance coverage is to improve health outcomes for impacted populations. However, health insurance coverage may alternatively increase risky health behaviors due to ex ante moral hazard, and past research on this issue has led to mixed conclusions. This paper uses a panel of household purchases to estimate the effects of the recent state‐level Medicaid expansions resulting from the Affordable Care Act (ACA) on consumption goods that present adverse health risks. We utilize within‐household variation to identify whether increases in Medicaid availability impacted household purchase patterns of alcohol, nicotine‐related, snack food, and carbonated beverage products. Overall, we find little evidence that the ACA Medicaid expansion led to ex ante moral hazard across any of these products, but we find compelling evidence that the Medicaid expansions reduced cigarette consumption and increased smoking cessation product use among the Medicaid‐eligible population.

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Section: Relevant Literature and Backgroundmentioning

confidence: 99%

Impacts of the ACA Medicaid expansion on health behaviors: Evidence from household panel data

2018

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“…The first concept is payments to finance health care services, which includes all payments by a household and their employers to finance health care, including premiums, out‐of‐pocket costs, taxes, and other payments. Following standard economic practice, we treat the burden of employer payments as ultimately falling on workers . Payments represent the financial burden borne by each household for health care services, including those they receive themselves and those provided to others.…”

Section: Introductionmentioning

confidence: 99%

Accounting for the burden and redistribution of health care costs: Who uses care and who pays for it

Carman

Liu

White

2020

Health Services Research

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Objective To measure the burden of financing health care costs and quantify redistribution among population groups. Data Sources A synthetic population using data combined from multiple sources, including the Survey of Income and Program Participation (SIPP), Medical Expenditure Panel Survey (MEPS), Kaiser Family Foundation (KFF)/Health Research Educational Trust (HRET) Employer Health Benefits Survey, American Community Survey (ACS), and National Health Expenditure Accounts (NHEA). Study Design We estimate two dollar amounts for each individual in the synthetic population: (a) payments to finance health care services, which includes all payments by a household and their employers to finance health care, including premiums, out‐of‐pocket payments, federal and state taxes, and other payments; and (b) the dollar value of health care services received, which equals the amount paid to providers for those services. Data Extraction Methods We linked the nationally representative survey data using statistical matching. We allocated health care expenditures from the NHEA to individuals and households based on expenditures reported in the MEPS. Principal Findings We show that higher‐income households pay the most to finance health care in dollar amounts, but the burden of payments as a share of income is greater among lower‐income households. Conclusions Accounting for all sources of payments provides a clear picture of the burden of financing health care costs, and how that burden is spread under our current financing system.

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“…2014; Ellimoottil et al 2014). Furthermore, we anticipate self-reported health data to become more prevalent (see Zhu et al 2010; Miller 2012; Van der Wees et al 2013; Courtemanche and Zapata 2014; Sommers et al 2014a,b,c), particularly with the emergence of several independent surveys, and to learn more about changes in wage rates among those gaining ESI and shifts between part-time and full-time employment (Kolstad and Kowalski 2016; Dillender et al 2015; Heim and Lurie 2015). …”

Section: Resultsmentioning

confidence: 99%

“… 21 See Appendix A of Kolstad and Kowalski (2016) for a side-by-side comparison of the provisions of the Massachusetts health care reform and the Affordable Care Act. …”

mentioning

confidence: 99%

The ACA: Impacts on Health, Access, and Employment

Serakos

Wolfe

2016

Forum for Health Economics and Policy

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On March 23, 2010, President Barack Obama signed the Patient Protection and Affordable Care Act (ACA) into law. This comprehensive health care reform legislation sought to expand health care coverage to millions of Americans, control health care costs, and improve the overall quality of the health care system. The ACA required that all US citizens and legal residents have qualifying health insurance by 2014. In this paper we give readers a brief overview of the effects of the ACA based on recent research. We then turn our attention to the possibility of using the ACA expansion to answer important underlying questions, such as: To what extent does the holding of insurance lead to improvements in access to care? To what extent does the holding of coverage lead to improvements in health? In mental health? Are there likely general equilibrium effects on labor force participation, hours worked, employment setting, and indeed even the probability of marrying? By necessity, researchers’ ability to answer these questions depends on the availability of data, so we discuss current and potential data sources relevant for answering these questions. We also look to what has been studied about the health reform in Massachusetts and early Medicaid expansions to speculate what we can expect to learn about the effects of the ACA on these outcomes in the future.

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Mandate-based health reform and the labor market: Evidence from the Massachusetts reform

Cited by 59 publications

References 22 publications

Impacts of the ACA Medicaid expansion on health behaviors: Evidence from household panel data

Impacts of the ACA Medicaid expansion on health behaviors: Evidence from household panel data

Accounting for the burden and redistribution of health care costs: Who uses care and who pays for it

The ACA: Impacts on Health, Access, and Employment

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