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The Impact of the Massachusetts Health Care Reform on Health Care Use among Children


  • Sarah Miller


In 2006 Massachusetts enacted a major health care reform aimed at achieving near-universal coverage in the state. While other studies have found that this reform substantially affected the use of health services in general, the impact of the reform on children is largely unexplored. Children are of special interest to policymakers because it is widely believed that better health in early childhood results in large payoffs to adult health and achievement. I analyze how the reform affected the insurance coverage, health care utilization patterns, and health outcomes of children under 18 years old.

Suggested Citation

  • Sarah Miller, 2012. "The Impact of the Massachusetts Health Care Reform on Health Care Use among Children," American Economic Review, American Economic Association, vol. 102(3), pages 502-507, May.
  • Handle: RePEc:aea:aecrev:v:102:y:2012:i:3:p:502-07

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    References listed on IDEAS

    1. Case, Anne & Fertig, Angela & Paxson, Christina, 2005. "The lasting impact of childhood health and circumstance," Journal of Health Economics, Elsevier, vol. 24(2), pages 365-389, March.
    2. Miller, Sarah, 2012. "The effect of insurance on emergency room visits: An analysis of the 2006 Massachusetts health reform," Journal of Public Economics, Elsevier, vol. 96(11), pages 893-908.
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    Cited by:

    1. Thomas C. Buchmueller & Sarah Miller & Marko Vujicic, 2014. "How Do Providers Respond to Public Health Insurance Expansions? Evidence from Adult Medicaid Dental Benefits," NBER Working Papers 20053, National Bureau of Economic Research, Inc.
    2. repec:hit:hitjec:v:58:y:2017:i:1:p:69-88 is not listed on IDEAS
    3. Barbaresco, Silvia & Courtemanche, Charles J. & Qi, Yanling, 2015. "Impacts of the Affordable Care Act dependent coverage provision on health-related outcomes of young adults," Journal of Health Economics, Elsevier, vol. 40(C), pages 54-68.
    4. Courtemanche, Charles & Marton, James & Ukert, Benjamin & Yelowitz, Aaron & Zapata, Daniela, 2017. "Early Effects of the Affordable Care Act on Health Care Access, Risky Health Behaviors, and Self-Assessed Health," IZA Discussion Papers 10649, Institute for the Study of Labor (IZA).
    5. Charles Courtemanche & Andrew Friedson & Andrew P. Koller & Daniel I. Rees, 2017. "The Affordable Care Act and Ambulance Response Times," NBER Working Papers 23722, National Bureau of Economic Research, Inc.
    6. Charles J. Courtemanche & Daniela Zapata, 2014. "Does Universal Coverage Improve Health? The Massachusetts Experience," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 33(1), pages 36-69, January.
    7. Alm, James & Enami, Ali, 2017. "Do government subsidies to low-income individuals affect interstate migration? Evidence from the Massachusetts Health Care Reform," Regional Science and Urban Economics, Elsevier, vol. 66(C), pages 119-131.
    8. Mazumder, Bhashkar & Miller, Sarah, 2014. "The Effects of the Massachusetts Health Reform on Financial Distress," Working Paper Series WP-2014-1, Federal Reserve Bank of Chicago.
    9. Buckles, Kasey & Malamud, Ofer & Morrill, Melinda Sandler & Wozniak, Abigail, 2012. "The Effect of College Education on Health," IZA Discussion Papers 6659, Institute for the Study of Labor (IZA).
    10. de la Mata, Dolores & Gaviria, Carlos Felipe, 2015. "Losing health insurance when young: Impacts on usage of medical services and health," Research Department working papers 766, CAF Development Bank Of Latinamerica.
    11. repec:eee:socmed:v:191:y:2017:i:c:p:89-98 is not listed on IDEAS
    12. Ann P. Bartel & Carri W. Chan & Song-Hee (Hailey) Kim, 2014. "Should Hospitals Keep Their Patients Longer? The Role of Inpatient Care in Reducing Post-Discharge Mortality," NBER Working Papers 20499, National Bureau of Economic Research, Inc.
    13. repec:bpj:bejeap:v:17:y:2017:i:3:p:21:n:8 is not listed on IDEAS
    14. Cuong Nguyen, 2016. "The impact of health insurance programs for children: evidence from Vietnam," Health Economics Review, Springer, vol. 6(1), pages 1-15, December.
    15. Julie Shi, 2016. "Income Responses to Health Insurance Subsidies: Evidence from Massachusetts," American Journal of Health Economics, MIT Press, vol. 2(1), pages 96-124, January.
    16. Apostolova-Mihaylova, Maria & Yelowitz, Aaron, 2015. "Health Insurance, Fertility, and the Wantedness of Pregnancies: Evidence from Massachusetts," MPRA Paper 61237, University Library of Munich, Germany.
    17. repec:mrr:papers:wp341 is not listed on IDEAS
    18. Buckles, Kasey & Hagemann, Andreas & Malamud, Ofer & Morrill, Melinda & Wozniak, Abigail, 2016. "The effect of college education on mortality," Journal of Health Economics, Elsevier, vol. 50(C), pages 99-114.
    19. Yörük Barış K., 2017. "Health Insurance Coverage and Risky Health Behaviors among Young Adults," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 17(3), pages 1-21, July.
    20. Gaviria Garcés, Carlos Felipe & De la Mata, Dolores, 2016. "Losing health insurance when young: Impacts on usage of medical services and health in Colombia," PAPELES EN SALUD 015113, MINISTERIO DE SALUD Y PROTECCIÓN SOCIAL.
    21. Thomas Buchmueller & Sarah Miller & Marko Vujicic, 2016. "How Do Providers Respond to Changes in Public Health Insurance Coverage? Evidence from Adult Medicaid Dental Benefits," American Economic Journal: Economic Policy, American Economic Association, vol. 8(4), pages 70-102, November.

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