The Impact of the ACA Medicaid Expansion on Disability Program Applications

IF 3.1 2区 经济学 Q1 ECONOMICS American Journal of Health Economics Pub Date : 2020-09-16 DOI:10.1086/710525
Lucie Schmidt, Lara D. Shore-Sheppard, Tara Watson
{"title":"The Impact of the ACA Medicaid Expansion on Disability Program Applications","authors":"Lucie Schmidt, Lara D. Shore-Sheppard, Tara Watson","doi":"10.1086/710525","DOIUrl":null,"url":null,"abstract":"The Affordable Care Act (ACA) expanded the availability of public health insurance, decreasing the relative benefit of participating in disability programs but also lowering the cost of exiting the labor market to apply for disability benefits. In this paper, we explore the impact of expanded access to Medicaid through the ACA on applications to the Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) programs. Using the fact that the Supreme Court decision of June 2012 made the Medicaid expansion optional for the states, we compare changes in county-level SSI and SSDI caseloads in contiguous county pairs across a state border. We find no significant effects of the Medicaid expansion on applications or awards to either SSI or SSDI, and can reject economically meaningful impacts of Medicaid expansions on applications to disability programs.","PeriodicalId":45056,"journal":{"name":"American Journal of Health Economics","volume":"22 1","pages":""},"PeriodicalIF":3.1000,"publicationDate":"2020-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Health Economics","FirstCategoryId":"96","ListUrlMain":"https://doi.org/10.1086/710525","RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ECONOMICS","Score":null,"Total":0}
引用次数: 0

Abstract

The Affordable Care Act (ACA) expanded the availability of public health insurance, decreasing the relative benefit of participating in disability programs but also lowering the cost of exiting the labor market to apply for disability benefits. In this paper, we explore the impact of expanded access to Medicaid through the ACA on applications to the Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) programs. Using the fact that the Supreme Court decision of June 2012 made the Medicaid expansion optional for the states, we compare changes in county-level SSI and SSDI caseloads in contiguous county pairs across a state border. We find no significant effects of the Medicaid expansion on applications or awards to either SSI or SSDI, and can reject economically meaningful impacts of Medicaid expansions on applications to disability programs.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
ACA医疗补助扩大对残疾项目申请的影响
《平价医疗法案》(ACA)扩大了公共医疗保险的覆盖面,降低了参加残疾项目的相对好处,但也降低了退出劳动力市场申请残疾福利的成本。在本文中,我们探讨了通过ACA扩大获得医疗补助对申请补充安全收入(SSI)和社会保障残疾保险(SSDI)计划的影响。利用2012年6月最高法院的决定使医疗补助扩大为各州可选的事实,我们比较了跨州边界相邻县对县级SSI和SSDI病例量的变化。我们发现医疗补助扩大对SSI或SSDI的申请或奖励没有显著影响,并且可以拒绝医疗补助扩大对残疾计划申请的经济意义影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
4.30
自引率
2.70%
发文量
34
期刊介绍: The American Journal of Health Economics (AJHE) provides a forum for the in-depth analysis of health care markets and individual health behaviors. The articles appearing in AJHE are authored by scholars from universities, private research organizations, government, and industry. Subjects of interest include competition among private insurers, hospitals, and physicians; impacts of public insurance programs, including the Affordable Care Act; pharmaceutical innovation and regulation; medical device supply; the rise of obesity and its consequences; the influence and growth of aging populations; and much more.
期刊最新文献
The Effects of Post-Acute Care Payment Reform on Caregiving The Long-Term Impacts of Cigarette Taxes on Smoking. From Lawn Care to Home Care: Undocumented Immigration and Aging in Place Heterogeneous Effects of the Affordable Care Act on Emergency Department Visits and Payer Composition among Older Adults by Race and Ethnicity Increased Schooling Reduces Hospitalization Later in Life: New Evidence with Optimal Instruments from the United States
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1