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Early effects of the affordable care act on health care access, risky health behaviors, and self-assessed health / Charles Courtemanche (Georgia State University, NBER and IZA), James Marton (Georgia State University), Benjamin Ukert (University of Pennsylvania), Aaron Yelowitz (University of Kentucky), Daniela Zapata (IMPAQ International) ; IZA, Institute of Labor Economics
VerfasserCourtemanche, Charles In der Gemeinsamen Normdatei der DNB nachschlagen In Wikipedia suchen nach Charles Courtemanche ; Marton, James In der Gemeinsamen Normdatei der DNB nachschlagen In Wikipedia suchen nach James Marton ; Ukert, Benjamin In Wikipedia suchen nach Benjamin Ukert ; Yelowitz, Aaron S. In der Gemeinsamen Normdatei der DNB nachschlagen In Wikipedia suchen nach Aaron S. Yelowitz ; Zapata, Daniela In Wikipedia suchen nach Daniela Zapata
KörperschaftForschungsinstitut zur Zukunft der Arbeit In der Gemeinsamen Normdatei der DNB nachschlagen In Wikipedia suchen nach Forschungsinstitut zur Zukunft der Arbeit
ErschienenBonn, Germany : IZA Institute of Labor Economics, March 2017
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Umfang1 Online-Ressource (71 Seiten) : Diagramme
SerieDiscussion paper ; no. 10649
URNurn:nbn:de:hbz:5:2-120810 Persistent Identifier (URN)
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Early effects of the affordable care act on health care access, risky health behaviors, and self-assessed health [0.7 mb]
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Zusammenfassung

The goal of the Affordable Care Act (ACA) was to achieve nearly universal health insurance coverage through a combination of mandates, subsidies, marketplaces, and Medicaid expansions, most of which took effect in 2014. We use data from the Behavioral Risk Factor Surveillance System to examine the impacts of the ACA on health care access, risky health behaviors, and self-assessed health after two years. We estimate difference-in-differencein- differences models that exploit variation in treatment intensity from state participation in the Medicaid expansion and pre-ACA uninsured rates. Results suggest that the ACA led to sizeable improvements in access to health care in both Medicaid expansion and nonexpansion states, with the gains being larger in expansion states along some dimensions. No statistically significant effects on risky behaviors or self-assessed health emerge for the full sample. However, we find some evidence that the ACA improved self-assessed health among older non-elderly adults, particularly in expansion states.