Health Policy Center
2100 M Street NW
Washington, DC 20037
Institutional Affiliation: Urban Institute
NBER Working Papers and Publications
|December 2015||Effects of ACA Medicaid Expansions on Health Insurance Coverage and Labor Supply|
with Robert Kaestner, Anuj Gangopadhyaya, Caitlyn Fleming: w21836
We examined the effect of the expansion of Medicaid eligibility under the Affordable Care Act on health insurance coverage and labor supply of low-educated and low-income adults. We found that the Medicaid expansions were associated with large (e.g., 50 percent) increases in Medicaid coverage and corresponding decreases in the proportion uninsured. There was relatively little change in private insurance coverage, although the expansions tended to decrease such coverage slightly. In terms of labor supply, estimates indicated that the Medicaid expansions had little effect on work effort despite the substantial changes in health insurance coverage. Most estimates suggested that the expansions increased work effort, although not significantly.
Published: Robert Kaestner & Bowen Garrett & Jiajia Chen & Anuj Gangopadhyaya & Caitlyn Fleming, 2017. "Effects of ACA Medicaid Expansions on Health Insurance Coverage and Labor Supply," Journal of Policy Analysis and Management, vol 36(3), pages 608-642. citation courtesy of
|August 1997||The Effect of U.S. Supreme Court Ruling Sullivan v. Zebley on Child SSI and AFDC Enrollment|
with Sherry Glied: w6125
In 1990, in the case of Sullivan v. Zebley, the U.S. Supreme Court relaxed the criteria whereby children became eligible for Supplemental Security Income (SSI) benefits. Since that ruling, the number of children covered by SSI has almost tripled; nearly 1 million American children are receiving cash and medical benefits through SSI. Many of those new enrollees were not previously eligible for cash and Medicaid benefits. Other new eligibles had already been receiving cash and Medicaid through AFDC. This paper examines the extent of spillovers between the SSI and AFDC programs using the Sullivan v. Zebley expansion in child SSI enrollment to identify spillovers between the programs. We describe how a family's decision to participate in AFDC or SSI is likely to depend on the level of AFDC an...
Published: Bowen Garrett and Sherry Glied. "Does state AFDC generosity affect child SSI participation?" Journal of Policy Analysis and Management, Volume 19 Issue 2, Pages 275 - 295 (Spring 2000)
|November 1996||Medicaid and Service Use Among Homeless Adults|
with Sherry Glied, Christina Hoven, Robert Moore: w5834
Expansions of Medicaid eligibility intend to improve access to care, and to shift care from emergency rooms and inpatient hospital care to more appropriate sites. We examine the effect of Medicaid recipiency on the level and site of medical service utilization using data from 1985 and 1987 surveys of New York City homeless single men and women. Simple regressions of Medicaid on the use of health services among homeless adults indicate that Medicaid significantly increases the likelihood that these individuals receive services, especially emergency and inpatient hospital services. We test this result in further analyses that control for health status, use instrumental variables procedures, and examine differences between a similar population in 1985 and 1987. These analyses suggest that ...
Published: Inquiry, Vol. 35, no. 4 (1998): 380-388.