The Affordable Care Act and Ambulance Response Times
This study contributes to the literature on supply-side adjustments to insurance expansions by examining the effect of the Affordable Care Act (ACA) on ambulance response times. Exploiting temporal and geographic variation in the implementation of the ACA as well as pre-treatment differences in uninsured rates, we estimate that the expansions of private and Medicaid coverage under the ACA combined to slow ambulance response times by an average of 19%. We conclude that, through extending coverage to individuals who, in its absence, would not have availed themselves of emergency medical services, the ACA added strain to emergency response systems.
We thank Chloe East, Joseph Garuccio, James Marton, Pierre Nguimkeu, Rusty Tchernis, Sebastian Tello-Trillo, Ben Ukert, Daniela Zapata, and participants at the Boulder/Denver Applied Microeconomics Workshop and San Diego State University Center for Health Economics and Policy Studies Seminar Series for their helpful comments and suggestions. The views expressed herein are those of the authors and do not necessarily reflect the views of the National Bureau of Economic Research.
Charles Courtemanche & Andrew Friedson & Andrew P. Koller & Daniel I. Rees, 2019. "THE AFFORDABLE CARE ACT AND AMBULANCE RESPONSE TIMES," Journal of Health Economics, . citation courtesy of