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Adult Medicaid Benefit Generosity and Receipt of Recommended Health Services among Low-Income Children: The Spillover Effects of Medicaid Adult Dental Coverage Expansions

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  • Lipton, Brandy

Abstract

Low-income children are less likely to receive recommended health services than their high-income counterparts. This paper examines whether the design of parental Medicaid benefit packages could serve as a mechanism for reducing income-based disparities in unmet health care needs, considering dental benefits as a case study. Leveraging state-level changes to adult dental benefits over time, I find that coverage is associated with increases of 14 and 5 percentage points, respectively, in the likelihood of a recent dental visit among parents and children directly exposed to the policy. Child effects appear to be concentrated among younger children under age 12.

Suggested Citation

  • Lipton, Brandy, 2019. "Adult Medicaid Benefit Generosity and Receipt of Recommended Health Services among Low-Income Children: The Spillover Effects of Medicaid Adult Dental Coverage Expansions," MPRA Paper 93248, University Library of Munich, Germany.
  • Handle: RePEc:pra:mprapa:93248
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    References listed on IDEAS

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    1. Bhashkar Mazumder & Sarah Miller, 2016. "The Effects of the Massachusetts Health Reform on Household Financial Distress," American Economic Journal: Economic Policy, American Economic Association, vol. 8(3), pages 284-313, August.
    2. Leininger Lindsey & Levy Helen & Schanzenbach Diane, 2010. "Consequences of SCHIP Expansions for Household Well-Being," Forum for Health Economics & Policy, De Gruyter, vol. 13(1), pages 1-32, June.
    3. Bhashkar Mazumder & Sarah Miller, 2014. "The Effects of the Massachusetts Health Reform on Financial Distress," Working Paper Series WP-2014-1, Federal Reserve Bank of Chicago.
    4. Sarah Miller & Luojia Hu & Robert Kaestner & Bhashkar Mazumder & Ashley Wong, 2021. "The ACA Medicaid Expansion in Michigan and Financial Health," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 40(2), pages 348-375, March.
    5. Singhal, Sonica & Correa, Rejane & Quiñonez, Carlos, 2013. "The impact of dental treatment on employment outcomes: A systematic review," Health Policy, Elsevier, vol. 109(1), pages 88-96.
    6. Daniel Kahneman & Amos Tversky, 2013. "Prospect Theory: An Analysis of Decision Under Risk," World Scientific Book Chapters, in: Leonard C MacLean & William T Ziemba (ed.), HANDBOOK OF THE FUNDAMENTALS OF FINANCIAL DECISION MAKING Part I, chapter 6, pages 99-127, World Scientific Publishing Co. Pte. Ltd..
    7. David M. Cutler & Jonathan Gruber, 1996. "Does Public Insurance Crowd out Private Insurance?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 111(2), pages 391-430.
    8. Thomas G. Koch, 2015. "All Internal in the Family?: Measuring Spillovers from Public Health Insurance," Journal of Human Resources, University of Wisconsin Press, vol. 50(4), pages 959-979.
    9. Janet Currie, 2000. "Do Children of Immigrants Make Differential Use of Public Health Insurance?," NBER Chapters, in: Issues in the Economics of Immigration, pages 271-308, National Bureau of Economic Research, Inc.
    10. Hamersma, Sarah & Kim, Matthew, 2009. "The effect of parental Medicaid expansions on job mobility," Journal of Health Economics, Elsevier, vol. 28(4), pages 761-770, July.
    11. Sherry Glied & Matthew Neidell, 2010. "The Economic Value of Teeth," Journal of Human Resources, University of Wisconsin Press, vol. 45(2).
    12. Dillender, Marcus, 2017. "Medicaid, family spending, and the financial implications of crowd-out," Journal of Health Economics, Elsevier, vol. 53(C), pages 1-16.
    13. Anna Aizer & Jeffrey Grogger, 2003. "Parental Medicaid Expansions and Health Insurance Coverage," NBER Working Papers 9907, National Bureau of Economic Research, Inc.
    14. Choi, Moonkyung Kate, 2011. "The impact of Medicaid insurance coverage on dental service use," Journal of Health Economics, Elsevier, vol. 30(5), pages 1020-1031.
    15. Hu, Luojia & Kaestner, Robert & Mazumder, Bhashkar & Miller, Sarah & Wong, Ashley, 2018. "The effect of the affordable care act Medicaid expansions on financial wellbeing," Journal of Public Economics, Elsevier, vol. 163(C), pages 99-112.
    16. Alan Monheit & Jessica Vistnes, 2015. "Does Public Health Insurance for Children Improve Single Mothers’ Health Care Use?," Journal of Family and Economic Issues, Springer, vol. 36(4), pages 581-592, December.
    17. Helen Levy & Thomas Buchmueller & Sayeh Nikpay, 2019. "The Impact of Medicaid Expansion on Household Consumption," Eastern Economic Journal, Palgrave Macmillan;Eastern Economic Association, vol. 45(1), pages 34-57, January.
    18. Jackson, S.L. & Vann Jr, W.F. & Kotch, J.B. & Pahel, B.T. & Lee, J.Y., 2011. "Impact of poor oral health on children's school attendance and performance," American Journal of Public Health, American Public Health Association, vol. 101(10), pages 1900-1906.
    19. Decker, Sandra L. & Lipton, Brandy J., 2015. "Do Medicaid benefit expansions have teeth? The effect of Medicaid adult dental coverage on the use of dental services and oral health," Journal of Health Economics, Elsevier, vol. 44(C), pages 212-225.
    20. Neidell, M. & Herzog, K. & Glied, S., 2010. "The association between community water fluoridation and adult tooth loss," American Journal of Public Health, American Public Health Association, vol. 100(10), pages 1980-1985.
    21. Sommers, Benjamin D., 2006. "Insuring children or insuring families: Do parental and sibling coverage lead to improved retention of children in Medicaid and CHIP?," Journal of Health Economics, Elsevier, vol. 25(6), pages 1154-1169, November.
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    More about this item

    Keywords

    Medicaid; health behavior; disparities; oral health;
    All these keywords.

    JEL classification:

    • D1 - Microeconomics - - Household Behavior
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

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