Department of Economics
The Pennsylvania State University
613 Kern Graduate Building
University Park, PA 16802
NBER Working Papers and Publications
|November 2017||Medicaid and Financial Health|
with Kenneth Brevoort, Martin B. Hackmann: w24002
This paper investigates the effects of the Medicaid expansion provision of the Affordable Care Act (ACA) on households' financial health. Our findings indicate that, in addition to reducing the incidence of unpaid medical bills, the reform provided substantial indirect financial benefits to households. Using a nationally representative panel of 5 million credit records, we find that the expansion reduced unpaid medical bills sent to collection by $3.4 billion in its first two years, prevented new delinquencies, and improved credit scores. Using data on credit offers and pricing, we document that improvements in households' financial health led to better terms for available credit valued at $520 million per year. We calculate that the financial benefits of Medicaid double when considering...