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Upjohn Institute Working Papers

Series

2017

Health insurance

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The Effect Of Paid Sick Leave Mandates On Access To Paid Leave And Work Absences, Kevin Callison, Michael F. Pesko Oct 2017

The Effect Of Paid Sick Leave Mandates On Access To Paid Leave And Work Absences, Kevin Callison, Michael F. Pesko

Upjohn Institute Working Papers

We evaluate the impact of paid sick leave (PSL) mandates on access to PSL and work absences for private sector workers in the U.S. By exploiting geographic and temporal variation in PSL mandate enactment, we compare changes in outcomes for workers in counties affected by a PSL mandate to changes for those in counties with no mandate. Additionally, we rely on within-county variation in the propensity to gain PSL following a mandate to estimate policy effects for workers most likely to acquire coverage. Results indicate that PSL mandates lead to increased access to PSL benefits, especially for women and those …


Does Increased Access To Health Insurance Impact Claims For Workers' Compensation? Evidence From Massachusetts Health Care Reform, Erin Todd Bronchetti, Melissa Mcinerney Jun 2017

Does Increased Access To Health Insurance Impact Claims For Workers' Compensation? Evidence From Massachusetts Health Care Reform, Erin Todd Bronchetti, Melissa Mcinerney

Upjohn Institute Working Papers

We study over 20 million emergency room (ER) discharges in Massachusetts and three comparison states to estimate the impact of Massachusetts health care reform on claims for Workers’ Compensation (WC). Prior evidence on the relationship between health insurance and WC claiming behavior is mixed. We find that the reform caused a significant decrease in the number of per-capita ER discharges billed to WC. This result is driven by larger decreases in WC discharges for conditions for which there is greater scope to change the payer or the location of care. Conversely, we estimate smaller impacts for weekend versus weekday admissions …


Medicaid, Family Spending, And The Financial Implications Of Crowd-Out, Marcus O. Dillender Feb 2017

Medicaid, Family Spending, And The Financial Implications Of Crowd-Out, Marcus O. Dillender

Upjohn Institute Working Papers

A primary purpose of health insurance is to protect families from medical expenditure risk. Despite this goal and despite the fact that research has found that Medicaid can crowd out private coverage, little is known about the effect of Medicaid on families' spending patterns. This paper implements a simulated instrumental variables strategy with data from the Consumer Expenditure Survey to estimate the effect of an additional family member becoming eligible from Medicaid on family-level health insurance coverage and spending. The results indicate that an additional family member becoming eligible for Medicaid increases the number of people in the family with …