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Health-care reform or labor market reform? A quantitative analysis of the affordable care act

Author

Listed:
  • Nakajima, Makoto

    (Federal Reserve Bank of Philadelphia)

  • Tuzemen, Didem

    (Federal Reserve Bank of Kansas City)

Abstract

An equilibrium model with firm and worker heterogeneity is constructed to analyze labor market and welfare implications of the Patient Protection and Affordable Care Act, commonly called the Affordable Care Act (ACA). The authors’ model implies a significant reduction in the uninsured rate from 22.6 percent to 5.6 percent. The model predicts a moderate positive welfare gain from the ACA because of the redistribution of income through health insurance subsidies at the exchange as well as the Medicaid expansion. About 2.1 million more part-time jobs are created under the ACA at the expense of 1.6 million full-time jobs, mainly because the link between full-time employment and health insurance is weakened. The model predicts a small negative effect on total hours worked (0.36 percent), partly because of the general equilibrium effect.

Suggested Citation

  • Nakajima, Makoto & Tuzemen, Didem, 2015. "Health-care reform or labor market reform? A quantitative analysis of the affordable care act," Working Papers 15-34, Federal Reserve Bank of Philadelphia, revised 19 Feb 2016.
  • Handle: RePEc:fip:fedpwp:15-34
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    References listed on IDEAS

    as
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    Cited by:

    1. Zhigang Feng & Kai Zhao, 2015. "Employment-Based Health Insurance and Aggregate Labor Supply," Working papers 2015-11, University of Connecticut, Department of Economics.
    2. Chao Fu & Naoki Aizawa, 2017. "Local Market Equilibrium and the Design of Public Health Insurance System," 2017 Meeting Papers 1448, Society for Economic Dynamics.
    3. Dillender, Marcus O. & Heinrich, Carolyn J. & Houseman, Susan N., 2016. "Health insurance reform and part-time work: Evidence from Massachusetts," Labour Economics, Elsevier, vol. 43(C), pages 151-158.

    More about this item

    Keywords

    Health insurance; Health-care reform; Affordable care act; Labor market; Heterogeneous agents;

    JEL classification:

    • D91 - Microeconomics - - Micro-Based Behavioral Economics - - - Role and Effects of Psychological, Emotional, Social, and Cognitive Factors on Decision Making
    • E24 - Macroeconomics and Monetary Economics - - Consumption, Saving, Production, Employment, and Investment - - - Employment; Unemployment; Wages; Intergenerational Income Distribution; Aggregate Human Capital; Aggregate Labor Productivity
    • E65 - Macroeconomics and Monetary Economics - - Macroeconomic Policy, Macroeconomic Aspects of Public Finance, and General Outlook - - - Studies of Particular Policy Episodes
    • I10 - Health, Education, and Welfare - - Health - - - General

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