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The effect of expanding access to health insurance on the health and mortality of Social Security Disability Insurance beneficiaries

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  • Weathers, Robert R.
  • Stegman, Michelle
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    Abstract

    We use a social experiment to estimate the impact of expanding health insurance coverage on the health and mortality of newly entitled SSDI beneficiaries who lacked health insurance. Our intent-to-treat estimates show that expanding health insurance has significant effects on self-reported health at one year following health insurance enrollment, positive effects on mental health and physical health at one year following health insurance enrollment, and no significant effects on mortality within our observation period. About 30% of control group members obtained health insurance coverage within one year following enrollment. We use two-stage least square models to estimate the impact on those who would not have obtained health insurance coverage without the demonstration project and find larger effects on self-reported health and mental health among these SSDI beneficiaries. Finally, we examine distributional impacts to show that mean impacts miss meaningful effects.

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    Bibliographic Info

    Article provided by Elsevier in its journal Journal of Health Economics.

    Volume (Year): 31 (2012)
    Issue (Month): 6 ()
    Pages: 863-875

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    Handle: RePEc:eee:jhecon:v:31:y:2012:i:6:p:863-875

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    Web page: http://www.elsevier.com/locate/inca/505560

    Related research

    Keywords: Health insurance; Medicare; SSDI; Social experiment; Mortality;

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    References

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    1. Blanchflower, David G. & Oswald, Andrew J., 2008. "Hypertension and happiness across nations," Journal of Health Economics, Elsevier, Elsevier, vol. 27(2), pages 218-233, March.
    2. Gina A. Livermore & David C. Stapleton & Henry Claypool, 2010. "Health Care When Workers Need It Most: Before and After Entry into the Social Security Disability Insurance Program," Mathematica Policy Research Reports, Mathematica Policy Research 6755, Mathematica Policy Research.
    3. Hilary W. Hoynes & Marianne P Bitler & Jonah Gelbach, 2005. "What Mean Impacts Miss:Distributional Effects of Welfare Reform Experiments," Working Papers, University of California, Davis, Department of Economics 531, University of California, Davis, Department of Economics.
    4. David Card & Carlos Dobkin & Nicole Maestas, 2007. "Does Medicare Save Lives?," NBER Working Papers 13668, National Bureau of Economic Research, Inc.
    5. David Wittenburg & Peter Baird & Lisa Schwartz & David Butler, 2008. "Health Benefits for the Uninsured: Design and Early Implementation of the Accelerated Benefits Demonstration," Mathematica Policy Research Reports, Mathematica Policy Research 6035, Mathematica Policy Research.
    6. Amy Finkelstein & Sarah Taubman & Bill Wright & Mira Bernstein & Jonathan Gruber & Joseph P. Newhouse & Heidi Allen & Katherine Baicker & The Oregon Health Study Group, 2011. "The Oregon Health Insurance Experiment: Evidence from the First Year," NBER Working Papers 17190, National Bureau of Economic Research, Inc.
    7. repec:mpr:mprres:7006 is not listed on IDEAS
    8. Finkelstein, Amy, et al., 2011. "The Oregon Health Insurance Experiment: Evidence from the First Year," Working Paper Series rwp11-040, Harvard University, John F. Kennedy School of Government.
    9. Charles Michalopoulos & David Wittenburg & Dina A. R. Israel & Jennifer Schore & Anne Warren & Aparajita Zutshi & Stephen Freedman & Lisa Schwartz, 2011. "The Accelerated Benefits Demonstration and Evaluation Project: Impacts on Health and Employment at Twelve Months," Mathematica Policy Research Reports, Mathematica Policy Research 7005, Mathematica Policy Research.
    10. Finkelstein, Amy & McKnight, Robin, 2008. "What did Medicare do? The initial impact of Medicare on mortality and out of pocket medical spending," Journal of Public Economics, Elsevier, Elsevier, vol. 92(7), pages 1644-1668, July.
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    Cited by:
    1. Michelle Stegman Baily & Robert R. Weathers II, 2014. "The Accelerated Benefits Demonstration: Impacts on the Employment of Disability Insurance Beneficiaries," American Economic Review, American Economic Association, American Economic Association, vol. 104(5), pages 336-41, May.
    2. Timothy J. Moore, 2014. "The Employment Effect of Terminating Disability Benefits," NBER Working Papers 19793, National Bureau of Economic Research, Inc.
    3. Maclean, Johanna Catherine, 2013. "The health effects of leaving school in a bad economy," Journal of Health Economics, Elsevier, Elsevier, vol. 32(5), pages 951-964.

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