Federal Reserve Bank of Chicago
230 S. LaSalle Street
Chicago, IL 60604
Institutional Affiliation: Northwestern University
NBER Working Papers and Publications
|September 2018||The ACA Medicaid Expansion in Michigan and Financial Health|
with Sarah Miller, Luojia Hu, Robert Kaestner, Bhashkar Mazumder: w25053
This article examines the impact of the Affordable Care Act Medicaid expansion in Michigan, the Healthy Michigan Program (HMP), on the financial well-being of new Medicaid enrollees. Our analysis uses a dataset on credit reports matched to administrative data on HMP enrollment and use of health care services. We find that enrollment is associated with large improvements in several measures of financial health, including reductions in unpaid bills, medical bills, over limit credit card spending, delinquencies, and public records (such as evictions, judgments, and bankruptcies). These benefits are apparent across several subgroups, although individuals with greater medical need (such as those with chronic illnesses) experience the largest improvements.
|April 2016||The Effect of the Patient Protection and Affordable Care Act Medicaid Expansions on Financial Wellbeing|
with Luojia Hu, Robert Kaestner, Bhashkar Mazumder, Sarah Miller: w22170
We examine the effect of the Medicaid expansions under the 2010 Patient Protection and Affordable Care Act (ACA) on consumer financial outcomes using data from a major credit reporting agency for a large, national sample of adults. We employ the synthetic control method to compare individuals living in states that expanded Medicaid to those that did not. We find that the Medicaid expansions significantly reduced the number of unpaid bills and the amount of debt sent to third-party collection agencies among those residing in zip codes with the highest share of low-income, uninsured individuals. Our estimates imply a reduction in collection balances of approximately $1,140 among those who gain Medicaid coverage due to the ACA. Our findings suggest that the ACA Medicaid expansions had importa...