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International Journal of Health Economics and Management

Erschienen in:

02.05.2021 | Research article

Impacts of insurance expansion on health cost, health access, and health behaviors: evidence from the medicaid expansion in the US

verfasst von: Prabal K. De

Erschienen in: International Journal of Health Economics and Management | Ausgabe 4/2021

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Abstract

Expansion of subsidized health insurance may result in both safer and riskier health behavior and outcomes. While having insurance lowers cost barriers to receive both usual and preventive care, the lower potential cost from adverse health events may also promote risky behavior. In this paper, I exploit expansion in the Medicaid program under the Affordable Care Act to estimate the impact of insurance expansion on health outcomes and behaviors for low-income individuals in the US. I find that expansion of coverage has significantly lowered cost and increased access, particularly among minority populations, but has had no significant impact on preventive health behaviors. At the same time, I also find no evidence of moral hazard or increase risky behavior like smoking and drinking among residents of expansion states.

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Since we do not carry out any model prediction, linear regression model is a better choice (See Greene, 2002).

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Titel: Impacts of insurance expansion on health cost, health access, and health behaviors: evidence from the medicaid expansion in the US
verfasst von: Prabal K. De
Publikationsdatum: 02.05.2021
Verlag: Springer US
Erschienen in: International Journal of Health Economics and Management / Ausgabe 4/2021
Print ISSN: 2199-9023
Elektronische ISSN: 2199-9031
DOI: https://doi.org/10.1007/s10754-021-09306-5

Springer Medizin

Abstract

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