{"title":"Did the Affordable Care Act's Medicaid eligibility expansions crowd out private health insurance coverage?","authors":"Conor Lennon","doi":"10.1002/pam.22556","DOIUrl":"https://doi.org/10.1002/pam.22556","url":null,"abstract":"The Affordable Care Act (ACA) provided funding to help states expand Medicaid eligibility to those earning up to 138% of the Federal Poverty Level. Such expansions in Medicaid eligibility, however, could “crowd out” private insurance coverage, including changes in coverage relating to other ACA provisions. To estimate the extent of such crowd out, I use a difference-in-differences empirical approach, examining changes in health insurance coverage sources among low-income Americans in states that expanded eligibility relative to comparable individuals in states that did not. Using American Community Survey data from 2009 to 2019, I find a 43% crowd-out rate, consisting of a 10.7 percentage point relative increase in Medicaid coverage among low-income adults and a 4.6 percentage point relative decline in private health insurance among respondents in states that expanded Medicaid eligibility. Among working adults, my estimates imply a larger 56% rate of crowding out. Event study analyses provide support for a causal interpretation for my findings. I further show that my estimates are robust to different sample restrictions and estimation choices, are not subject to the issues raised by the new difference-in-differences literature, and are similar when I use approaches to identifying crowd out common in the existing literature.","PeriodicalId":48105,"journal":{"name":"Journal of Policy Analysis and Management","volume":"11 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138658197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Voting in Indian Country: View From the Trenches by Jean Reith Schroedel. Pennsylvania: University of Pennsylvania Press, 2020, 312 pp., $39.95 (Hardcover). ISBN 978–0812252514.","authors":"Tessa Provins","doi":"10.1002/pam.22559","DOIUrl":"10.1002/pam.22559","url":null,"abstract":"","PeriodicalId":48105,"journal":{"name":"Journal of Policy Analysis and Management","volume":"43 2","pages":"636-639"},"PeriodicalIF":3.8,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138587932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medicaid generosity and food hardship among children","authors":"Nicholas Moellman, Cody N. Vaughn","doi":"10.1002/pam.22557","DOIUrl":"10.1002/pam.22557","url":null,"abstract":"<p>We explore the role of the largest means-tested transfer program, Medicaid, on multiple measures of food hardship among households with children, including measures that capture hardship explicitly experienced by children. Using data from the 2001 to 2020 waves of the December Current Population Survey, we identify the effect of having a Medicaid-eligible child on household food hardship by exploiting between-state, over-time, and between-household income eligibility criteria. We find that having an eligible child reduces rates of household food insecurity and very low food security by 20% and 26%, respectively. Among children themselves, eligibility reduces rates of food insecurity and very low food security by 22% each. The effects are stronger for households headed by Black and Hispanic individuals as well as households that have children under 6 years old.</p>","PeriodicalId":48105,"journal":{"name":"Journal of Policy Analysis and Management","volume":"43 2","pages":"400-419"},"PeriodicalIF":3.8,"publicationDate":"2023-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138491537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Habit and skill retention in recycling","authors":"Dylan Brewer, Samantha Cameron","doi":"10.1002/pam.22554","DOIUrl":"https://doi.org/10.1002/pam.22554","url":null,"abstract":"From 2002 to 2004, New York City ceased collecting residential glass and plastic recycling due to city budgetary pressure. We use data on recycling rates in New York City, New Jersey, and Massachusetts in a difference-in-differences (DID) research design to determine whether this exogenous pause weakened previously formed recycling habits. Despite a 50% decline in the overall recycling rate in 2003, by 2005 the overall recycling rate had fully recovered. Our results suggest that recycling habits are persistent in the short term and that the loss of previously established recycling habits and skills are not an unintended harm of pausing a recycling program. We show that these results hold in the standard DID approach, as well as a synthetic DID approach modified to estimate time-disaggregated treatment effects separately, which eliminates pre-trends and improves the precision of our estimates.","PeriodicalId":48105,"journal":{"name":"Journal of Policy Analysis and Management","volume":" 669","pages":""},"PeriodicalIF":3.8,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138475769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yilin Hou, Lei Ding, David J. Schwegman, Alaina G. Barca
{"title":"Assessment frequency and equity of the property tax: Latest evidence from Philadelphia","authors":"Yilin Hou, Lei Ding, David J. Schwegman, Alaina G. Barca","doi":"10.1002/pam.22555","DOIUrl":"https://doi.org/10.1002/pam.22555","url":null,"abstract":"Philadelphia's <i>Actual Valuation Initiative</i> adopted in 2013 creates a unique opportunity for us to test whether improved reassessments at short intervals to true market value improve property tax equity. Based on a difference-in-differences framework using parcel-level data matched with transactions in Philadelphia and 15 comparable cities, this study finds positive evidence on equity outcomes from more regular reassessments. The quality of property assessment improves substantially after 2014, although the extent of improvement varies across communities. Cross-city comparisons confirm Philadelphia's improvement in the quality and equity of property assessments after adopting the initiative. These results highlight the importance of regular reassessment in places where property values increase quickly, and they shed light on the disparate impacts of reassessment across property value and across neighborhood income, race, and gentrification status. The paper makes the case that the property tax, if designed well, can be an equitable tax instrument.","PeriodicalId":48105,"journal":{"name":"Journal of Policy Analysis and Management","volume":" 610","pages":""},"PeriodicalIF":3.8,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138475815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Personalizing homelessness prevention: Evidence from a randomized controlled trial","authors":"David C. Phillips, James X. Sullivan","doi":"10.1002/pam.22547","DOIUrl":"10.1002/pam.22547","url":null,"abstract":"<p>Through a randomized controlled trial, we test whether providing personalized case management alongside emergency financial assistance more effectively prevents homelessness than financial assistance alone. For a sample of young adults and families with children who are at risk of homelessness, our results indicate that participants assigned to case management and financial assistance are more likely to access other homeless programs and no less likely to be evicted. Downstream outcomes are mostly unchanged, though arrests increase. Using non-experimental variation across staff, we find that case management is associated with better outcomes when it is more intensive and pays financial assistance quickly.</p>","PeriodicalId":48105,"journal":{"name":"Journal of Policy Analysis and Management","volume":"43 4","pages":"1101-1128"},"PeriodicalIF":2.3,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71524878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Notes from the Editor","authors":"","doi":"10.1002/pam.22552","DOIUrl":"10.1002/pam.22552","url":null,"abstract":"","PeriodicalId":48105,"journal":{"name":"Journal of Policy Analysis and Management","volume":"43 1","pages":"4"},"PeriodicalIF":3.8,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135974131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The racial wealth gap, financial aid, and college access","authors":"Phillip B. Levine, Dubravka Ritter","doi":"10.1002/pam.22550","DOIUrl":"10.1002/pam.22550","url":null,"abstract":"<p>We examine how the racial wealth gap interacts with financial aid in American higher education to generate a disparate impact on college access and outcomes. Retirement savings and home equity are excluded from the formula used to estimate the amount a family can afford to pay. All else equal, omitting those assets mechanically increases the financial aid available to families that hold them. White families are more likely to own those assets and in larger amounts. We document this issue and explore its relationship with observed differences in college attendance, types of institutions attended, degrees attained, and education debt using data from the Survey of Consumer Finances (SCF), the National Postsecondary Student Aid Study (NPSAS), and the Panel Study of Income Dynamics (PSID). We show that this treatment of assets provides an implicit subsidy worth thousands of dollars annually to students from families with above-median incomes. White students receive larger subsidies relative to Black students and Hispanic students with similar family incomes, and this gap in subsidies is associated with disadvantages in educational advancement and student loan levels. It may explain 10 percent to 15 percent of white students’ advantage in these outcomes relative to Black students and Hispanic students.</p>","PeriodicalId":48105,"journal":{"name":"Journal of Policy Analysis and Management","volume":"43 2","pages":"555-581"},"PeriodicalIF":3.8,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71474930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Point/Counterpoint Introduction","authors":"","doi":"10.1002/pam.22544","DOIUrl":"10.1002/pam.22544","url":null,"abstract":"","PeriodicalId":48105,"journal":{"name":"Journal of Policy Analysis and Management","volume":"43 1","pages":"321"},"PeriodicalIF":3.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135271712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tight labor markets are essential to reducing racial disparities in the labor market and within the purview of the Fed's dual mandate","authors":"Valerie R. Wilson","doi":"10.1002/pam.22545","DOIUrl":"10.1002/pam.22545","url":null,"abstract":"","PeriodicalId":48105,"journal":{"name":"Journal of Policy Analysis and Management","volume":"43 1","pages":"322-328"},"PeriodicalIF":3.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135271913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}