Stemming the Tide? The Effect of Expanding Medicaid Eligibility on Health Insurance
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.
|Date of creation:||Jan 2005|
|Date of revision:|
|Publication status:||published as Shore-Sheppard, Lara D. "Stemming the Tide? The Effect of Expanding Medicaid Eligibility on Health Insurance." The B.E. Journal of Economic Analysis & Policy 8, 2 (2008): Article 6.|
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- Lara D. Shore-Sheppard & John C. Ham, 2003.
"The Effect of Medicaid Expansions for Low-Income Children on Medicaid Participation and Private Insurance Coverage : Evidence from the SIPP,"
Department of Economics Working Papers
2003-10, Department of Economics, Williams College.
- 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.
- 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.
- David M. Cutler & Jonathan Gruber, 1995. "Does Public Insurance Crowd Out Private Insurance?," NBER Working Papers 5082, National Bureau of Economic Research, Inc.
- 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.
- 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.
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