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The Impact of Affordable Care Act Medicaid Expansions on Applications to Federal Disability Programs

Author

Listed:
  • Anand Priyanka

    (George Mason University, Department of Health Administration and Policy, Fairfax, VA, USA)

  • Hyde Jody Schimmel

    (Mathematica Policy Research, 1100 First St NE, 12th Floor, Washington, DC 20002, USA)

  • Colby Maggie

    (Mathematica Policy Research, Washington, DC, USA)

  • O’Leary Paul

    (Social Security Administration, Washington, DC, USA)

Abstract

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.

Suggested Citation

  • Anand Priyanka & Hyde Jody Schimmel & Colby Maggie & O’Leary Paul, 2018. "The Impact of Affordable Care Act Medicaid Expansions on Applications to Federal Disability Programs," Forum for Health Economics & Policy, De Gruyter, vol. 21(2), pages 1-20, December.
    • Handle: RePEc:bpj:fhecpo:v:21:y:2018:i:2:p:20:n:3
    DOI: 10.1515/fhep-2018-0001
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    References listed on IDEAS

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    1. Pinka Chatterji & Yue Li, 2016. "Early Effects of the 2010 Affordable Care Act Medicaid Expansions on Federal Disability Program Participation," NBER Working Papers 22531, National Bureau of Economic Research, Inc.
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    3. Burns, Marguerite & Dague, Laura, 2017. "The effect of expanding Medicaid eligibility on Supplemental Security Income program participation," Journal of Public Economics, Elsevier, vol. 149(C), pages 20-34.
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    5. Hall, J.P. & Shartzer, A. & Kurth, N.K. & Thomas, K.C., 2017. "Effect of medicaid expansion on workforce participation for people with disabilities," American Journal of Public Health, American Public Health Association, vol. 107(2), pages 262-264.
    6. Marco Caliendo & Sabine Kopeinig, 2008. "Some Practical Guidance For The Implementation Of Propensity Score Matching," Journal of Economic Surveys, Wiley Blackwell, vol. 22(1), pages 31-72, February.
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    8. Ho, Daniel E. & Imai, Kosuke & King, Gary & Stuart, Elizabeth A., 2007. "Matching as Nonparametric Preprocessing for Reducing Model Dependence in Parametric Causal Inference," Political Analysis, Cambridge University Press, vol. 15(3), pages 199-236, July.
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