美国各州最低工资和医疗保险覆盖率:2008-2018年。

IF 1.5 4区 经济学 Q3 BUSINESS, FINANCE International Journal of Health Economics and Management Pub Date : 2022-06-01 Epub Date: 2021-09-08 DOI:10.1007/s10754-021-09313-6
Masanori Kuroki
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引用次数: 1

摘要

本研究考察了2008-2018年期间最低工资上涨对无保险人口比例的影响。尽管有些人担心,提高最低工资会导致(1)减少就业,(2)诱使雇主停止向员工提供医疗保险,(3)通过增加收入使最低工资工人没有资格享受医疗补助,但研究结果表明,未参保率往往随着最低工资的提高而下降,这表明提高最低工资可能会鼓励最低工资工人获得医疗保险。这种影响似乎来自2014年《平价医疗法案》(ACA)生效后最低工资的上涨,这表明,提高最低工资,加上联邦政府对ACA市场和个人强制医疗的补贴,可能有助于降低未参保率。然而,医疗补助计划的扩张似乎减轻了最低工资对低收入家庭中未参保率的影响。
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State minimum wages and health insurance coverage in the United States: 2008-2018.

This study examines the effect of minimum wage hikes on the shares of uninsured people during the period 2008-2018. Despite some concern that higher minimum wages would lead to higher uninsured rates by (1) reducing employment, (2) inducing employers to stop offering health insurance to their employees, and (3) making minimum wage workers ineligible for Medicaid by increasing their earnings, the findings indicate that the uninsured rate tends to decrease with higher minimum wages, suggesting that minimum wage hikes might encourage minimum-wage workers to obtain health insurance. The effects appear to come from minimum wage hikes that occurred after the Affordable Care Act (ACA) took effect in 2014, suggesting that higher minimum wages combined with federal subsidies for the ACA marketplace and the individual mandate might have contributed to a reduction in the uninsured rate. However, Medicaid expansions seem to mitigate the effect of the minimum wage on the uninsured rate among low-income households.

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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
18
期刊介绍: The focus of the International Journal of Health Economics and Management is on health care systems and on the behavior of consumers, patients, and providers of such services. The links among management, public policy, payment, and performance are core topics of the relaunched journal. The demand for health care and its cost remain central concerns. Even as medical innovation allows providers to improve the lives of their patients, questions remain about how to efficiently deliver health care services, how to pay for it, and who should pay for it. These are central questions facing innovators, providers, and payers in the public and private sectors. One key to answering these questions is to understand how people choose among alternative arrangements, either in markets or through the political process. The choices made by healthcare managers concerning the organization and production of that care are also crucial. There is an important connection between the management of a health care system and its economic performance. The primary audience for this journal will be health economists and researchers in health management, along with the larger group of health services researchers. In addition, research and policy analysis reported in the journal should be of interest to health care providers, managers and policymakers, who need to know about the pressures facing insurers and governments, with consequences for regulation and mandates. The editors of the journal encourage submissions that analyze the behavior and interaction of the actors in health care, viz. consumers, providers, insurers, and governments. Preference will be given to contributions that combine theoretical with empirical work, evaluate conflicting findings, present new information, or compare experiences between countries and jurisdictions. In addition to conventional research articles, the journal will include specific subsections for shorter concise research findings and cont ributions to management and policy that provide important descriptive data or arguments about what policies follow from research findings. The composition of the editorial board is designed to cover the range of interest among economics and management researchers.Officially cited as: Int J Health Econ ManagFrom 2001 to 2014 the journal was published as International Journal of Health Care Finance and Economics. (Articles published in Vol. 1-14 officially cited as: Int J Health Care Finance Econ)
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