《平价医疗法案》对联邦残疾人项目申请的影响。

Q3 Economics, Econometrics and Finance
Priyanka Anand, Jody Schimmel Hyde, Maggie Colby, Paul O'Leary
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引用次数: 16

摘要

在本文中,我们估计了2014年1月扩大医疗补助的14个州通过《患者保护和平价医疗法案》(ACA)扩大医疗补助对联邦残疾项目申请的影响。我们使用差异中的差异回归模型来比较扩大了医疗补助计划的州内地理区域的残疾申请率与未扩大医疗补助计划的州的残疾申请率,这些州是通过匹配方法精心选择的,该方法考虑了aca之前的州医疗补助政策以及可能影响残疾申请率的人口和社会经济特征。我们发现,在扩大医疗补助计划的州,与未扩大医疗补助计划的州相比,扩大医疗补助计划后,补充安全收入(SSI)申请率的下降速度较慢,2014年至2016年,这两个州的申请率都有所下降。由于本文讨论的原因,我们对医疗补助扩大对社会保障残疾保险(SSDI)申请率的影响的分析是不确定的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Impact of Affordable Care Act Medicaid Expansions on Applications to Federal Disability Programs.

In this paper, we estimate the impact of Medicaid expansions via the Patient Protection and Affordable Care Act (ACA) on applications to federal disability programs in 14 states that expanded Medicaid in January 2014. We use a difference-in-differences regression model to compare disability application rates in geographic areas within states that expanded Medicaid to rates in areas of non-expansion states that were carefully selected using a matching approach that accounts for state Medicaid policies pre-ACA as well as demographic and socioeconomic characteristics that might influence disability application rates. We find a slower decrease in Supplemental Security Income (SSI) application rates after Medicaid expansions in expansion states relative to non-expansion states, with application rates declining in both state groups from 2014 through 2016. Our analysis of the impact of the Medicaid expansions on Social Security Disability Insurance (SSDI) application rates was inconclusive for reasons we discuss in the paper.

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来源期刊
Forum for Health Economics and Policy
Forum for Health Economics and Policy Economics, Econometrics and Finance-Economics, Econometrics and Finance (miscellaneous)
CiteScore
1.60
自引率
0.00%
发文量
8
期刊介绍: Forum for Health Economics & Policy (FHEP) showcases articles in key substantive areas that lie at the intersection of health economics and health policy. The journal uses an innovative structure of forums to promote discourse on the most pressing and timely subjects in health economics and health policy, such as biomedical research and the economy, and aging and medical care costs. Forums are chosen by the Editorial Board to reflect topics where additional research is needed by economists and where the field is advancing rapidly. The journal is edited by Katherine Baicker, David Cutler and Alan Garber of Harvard University, Jay Bhattacharya of Stanford University, Dana Goldman of the University of Southern California and RAND Corporation, Neeraj Sood of the University of Southern California, Anup Malani and Tomas Philipson of University of Chicago, Pinar Karaca Mandic of the University of Minnesota, and John Romley of the University of Southern California. FHEP is sponsored by the Schaeffer Center for Health Policy and Economics at the University of Southern California. A subscription to the journal also includes the proceedings from the National Bureau of Economic Research''s annual Frontiers in Health Policy Research Conference. Topics: Economics, Political economics, Biomedical research and the economy, Aging and medical care costs, Nursing, Cancer studies, Medical treatment, Others related.
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