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Social and Behavioral Sciences Commons™
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Articles 1 - 3 of 3
Full-Text Articles in Social and Behavioral Sciences
Shock, But No Shift: Hospitals' Responses To Changes In Patient Insurance Mix, Kathryn L. Wagner
Shock, But No Shift: Hospitals' Responses To Changes In Patient Insurance Mix, Kathryn L. Wagner
Economics Faculty Research and Publications
Medicaid reimburses healthcare providers for services at a lower rate than any other type of insurance coverage. To account for the burden of treating Medicaid patients, providers claim that they must cost-shift by raising the rates of individuals covered by private insurance. Previous investigations of cost-shifting has produced mixed results. In this paper, I exploit a disabled Medicaid expansion where crowd-out was complete to investigate cost-shifting. I find that hospitals reduce the charge rates of the privately insured. Given that Medicaid is expanding in several states under the Affordable Care Act, these results may alleviate cost-shifting concerns of the reform.
Job Displacement’S Long-Run Effect On Access To Employer-Provided Health Insurance And Other Fringe Benefits, Nicholas A. Jolly, Brian J. Phelan
Job Displacement’S Long-Run Effect On Access To Employer-Provided Health Insurance And Other Fringe Benefits, Nicholas A. Jolly, Brian J. Phelan
Economics Faculty Research and Publications
This paper investigates the effect of job displacement on access to employer-provided fringe benefits. We find that displacement is associated with lost access to all seven employer-provided benefits investigated. These losses increase the cost of displacement by 10% per year.
Medicaid Expansions For The Working Age Disabled: Revisiting The Crowd-Out Of Private Health Insurance, Kathryn L. Wagner
Medicaid Expansions For The Working Age Disabled: Revisiting The Crowd-Out Of Private Health Insurance, Kathryn L. Wagner
Economics Faculty Research and Publications
Disabled individuals under 65 years old account for 15% of Medicaid recipients but half of all Medicaid spending. Despite their large cost, few studies have investigated the effects of Medicaid expansions for disabled individuals on insurance coverage and crowd-out of private insurance. Using an eligibility expansion that allowed states to provide Medicaid to disabled individuals with incomes less than 100% of the federal poverty level, I address these issues. Crowd-out estimates range from 49% using an ordinary least squares procedure to 100% using two-stage least-squares analysis. This potentially large degree of crowd-out could have fiscal implications for the Affordable Care …