Health Insurance Coverage Changes Under the Affordable Care Act Among High Housing Cost Households, 2010-18.

IF 2 3区 医学 Q2 ECONOMICS
Health economics Pub Date : 2024-11-13 DOI:10.1002/hec.4912
Yu Cao, Yuxin Su, Guan Wang, Chengcheng Zhang
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Abstract

This study examines the impact of the Affordable Care Act (ACA) on health insurance coverage among rent-burdened households-those spending more than 30% of their income on rent-and non-rent-burdened households. Using data from American Community Survey, we find that Medicaid take-up rate increased 8.88 percentage points (pp) among rent-burdened households and 7.54 pp among non-rent-burdened households in expansion states. Conditional on household income and demographic characteristics, rent-burdened households exhibit a 1.5 pp higher likelihood of Medicaid enrollment, with an additional decline of 0.7 pp in employer-sponsored insurance and 1.0 pp in directly purchased insurance enrollment. These effects were more pronounced among individuals aged over 26 and those in states without state-run exchanges. The findings show the importance of tailored Medicaid policies to assist households facing housing burdens, especially for those ineligible for housing vouchers.

2010-18 年高住房成本家庭在《平价医疗法案》下的医疗保险覆盖变化。
本研究探讨了《可负担医疗法案》(ACA)对租金负担家庭(即租金支出超过收入 30% 的家庭)和非租金负担家庭医疗保险覆盖率的影响。通过使用美国社区调查的数据,我们发现在扩展州,租金负担家庭的医疗补助参保率提高了 8.88 个百分点,非租金负担家庭的参保率提高了 7.54 个百分点。在家庭收入和人口统计特征的条件下,租金负担家庭加入《医疗补助计划》的可能性增加了 1.5 个百分点,雇主赞助保险的加入率和直接购买保险的加入率分别下降了 0.7 个百分点和 1.0 个百分点。这些影响在 26 岁以上的人群和没有州立保险交易所的州更为明显。研究结果表明,有针对性的医疗补助政策对于帮助面临住房负担的家庭,尤其是那些没有资格获得住房券的家庭非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health economics
Health economics 医学-卫生保健
CiteScore
3.60
自引率
4.80%
发文量
177
审稿时长
4-8 weeks
期刊介绍: This Journal publishes articles on all aspects of health economics: theoretical contributions, empirical studies and analyses of health policy from the economic perspective. Its scope includes the determinants of health and its definition and valuation, as well as the demand for and supply of health care; planning and market mechanisms; micro-economic evaluation of individual procedures and treatments; and evaluation of the performance of health care systems. Contributions should typically be original and innovative. As a rule, the Journal does not include routine applications of cost-effectiveness analysis, discrete choice experiments and costing analyses. Editorials are regular features, these should be concise and topical. Occasionally commissioned reviews are published and special issues bring together contributions on a single topic. Health Economics Letters facilitate rapid exchange of views on topical issues. Contributions related to problems in both developed and developing countries are welcome.
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