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Stemming the Tide? The Effect of Expanding Medicaid Eligibility on Health Insurance

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Author Info
Lara D. Shore-Sheppard

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Abstract

Despite considerable research, there is little consensus about the impact of Medicaid eligibility expansions for low-income children. In this paper, I reexamine the expansions' impact on Medicaid take-up and private insurance "crowd-out." Focusing on the most influential estimates of the expansions' impact, I show that while many of the critiques leveled at these estimates have little effect on their magnitude, accounting for age-specific trends in coverage produces estimates similar to others in the literature. Estimating the impact of later expansions using additional years of data, I find low rates of take-up and no evidence of crowding out.

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Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 11091.

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Date of creation: Jan 2005
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Handle: RePEc:nbr:nberwo:11091

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I1 - Health, Education, and Welfare - - Health

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Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. Blumberg, Linda J. & Dubay, Lisa & Norton, Stephen A., 2000. "Did the Medicaid expansions for children displace private insurance? An analysis using the SIPP," Journal of Health Economics, Elsevier, vol. 19(1), pages 33-60, January. [Downloadable!] (restricted)
  2. Ham, John C. & Shore-Sheppard, Lara, 2005. "The effect of Medicaid expansions for low-income children on Medicaid participation and private insurance coverage: evidence from the SIPP," Journal of Public Economics, Elsevier, vol. 89(1), pages 57-83, January. [Downloadable!] (restricted)
  3. Cutler, David M & Gruber, Jonathan, 1996. "Does Public Insurance Crowd Out Private Insurance?," The Quarterly Journal of Economics, MIT Press, vol. 111(2), pages 391-430, May. [Downloadable!] (restricted)
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  4. Card, David, 1996. "The Effect of Unions on the Structure of Wages: A Longitudinal Analysis," Econometrica, Econometric Society, vol. 64(4), pages 957-79, July. [Downloadable!] (restricted)
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Cited by:
(explanations, Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.)

  1. Anne Beeson Royalty, 2001. "Do Minimum Wage Increases Lower the Probability that Low-Skilled Workers Will Receive Fringe Benefits?," JCPR Working Papers 222, Northwestern University/University of Chicago Joint Center for Poverty Research. [Downloadable!]
    Other versions:
  2. Jonathan Gruber, 2000. "Medicaid," NBER Working Papers 7829, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  3. Henry S. Farber & Helen Levy, 1998. "Recent Trends in Employer-Sponsored Health Insurance Coverage: Are Bad Jobs Getting Worse?," NBER Working Papers 6709, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  4. David Card & Andrew K. G. Hildreth & Lara Dawn Shore-Sheppard, 2001. "The Measurement of Medicaid Coverage in the SIPP: Evidence from California, 1990-1996," JCPR Working Papers 241, Northwestern University/University of Chicago Joint Center for Poverty Research. [Downloadable!]
    Other versions:
  5. Lara Shore-Sheppard, 1996. "The Effects of Expanding Medicaid Eligibility on the Distribution of Children's Health Insurance Coverage," Working Papers 748, Princeton University, Department of Economics, Industrial Relations Section.. [Downloadable!]
  6. Aaron S. Yelowitz, 1996. "Did Recent Medicaid Reforms Cause the Caseload Explosion in the Food Stamp Program?," UCLA Economics Working Papers 756, UCLA Department of Economics. [Downloadable!]
    Other versions:
  7. Rebecca M. Blank & David Card & Philip K. Robins, 1999. "Financial Incentives for Increasing Work and Income Among Low- Income Families," HEW 9902002, EconWPA. [Downloadable!]
    Other versions:
  8. Henry S. Farber & Helen Levy, 1998. "Recent Trends in Employer-Sponsored Health Insurance Coverage: Are Bad Jobs Getting Worse?," Working Papers 781, Princeton University, Department of Economics, Industrial Relations Section.. [Downloadable!]
  9. Aaron Yelowitz, 1997. "Public Policy and Health Care Choices of the Elderly: Evidence from the Medicare Buy-In Program," UCLA Economics Working Papers 773, UCLA Department of Economics. [Downloadable!]
    Other versions:
  10. Anthony T. LoSasso & Thomas C. Buchmueller, 2002. "The Effect of the State Children's Health Insurance Program on Health Insurance Coverage," NBER Working Papers 9405, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  11. George J. Borjas, 2003. "Welfare Reform, Labor Supply, and Health Insurance in the Immigrant Population," NBER Working Papers 9781, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
    Other versions:
  12. Jonathan Gruber & Kosali Simon, 2007. "Crowd-Out Ten Years Later: Have Recent Public Insurance Expansions Crowded Out Private Health Insurance?," NBER Working Papers 12858, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  13. Esel Y. Yazici & Robert Kaestner, 1998. "Medicaid Expansions and The Crowding Out of Private Health Insurance," NBER Working Papers 6527, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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