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State Medicaid Expansion and the Self-Employed

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  • Lee, Jun Yeong

    (Iowa State University)

  • Winters, John V.

    (Iowa State University)

Abstract

This paper examines effects of state Medicaid Expansion via the Affordable Care Act on the self-employed. We first examine impacts on the probability of self-employment and find no significant effect. We then examine the probability of having health insurance and the type of coverage for self-employed persons. Medicaid expansion increased overall health insurance coverage rates, with especially large impacts for the unincorporated self-employed. Medicaid expansion also increased the probability of Medicaid coverage as expected, but there is evidence of crowd out of other types of coverage. Impacts on health insurance rates of the self-employed also strengthened over time.

Suggested Citation

  • Lee, Jun Yeong & Winters, John V., 2020. "State Medicaid Expansion and the Self-Employed," IZA Discussion Papers 12997, Institute of Labor Economics (IZA).
  • Handle: RePEc:iza:izadps:dp12997
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    More about this item

    Keywords

    health insurance; self-employed; Affordable Care Act; state Medicaid expansion;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • L26 - Industrial Organization - - Firm Objectives, Organization, and Behavior - - - Entrepreneurship

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