The effects of Medicaid expansion on labor market outcomes: Evidence from border counties.

Autor: Peng L; Department of Economics, University of West Georgia, Carrollton, Georgia., Guo X; School of Insurance and Economics, University of International Business and Economics, Beijing, China., Meyerhoefer CD; Department of Economics, Lehigh University, Bethlehem, Pennsylvania.; National Bureau of Economic Research, Health Economics Program, Cambridge, Massachusetts.
Jazyk: angličtina
Zdroj: Health economics [Health Econ] 2020 Mar; Vol. 29 (3), pp. 245-260. Date of Electronic Publication: 2019 Dec 20.
DOI: 10.1002/hec.3976
Abstrakt: This paper provides new empirical evidence on the employment and earning effects of the recent Medicaid expansion. Unlike most existing studies that use a conventional state and year fixed effects approach, our main identification strategy is based on the comparison of employment and wages in contiguous county-pairs in neighboring states (i.e., border counties) with different Medicaid expansion status. Using the 2008-2016 Quarterly Census of Employment and Wages, we estimate a set of distributed lag models in order to examine the dynamic effects of Medicaid expansion. Results from our preferred specification suggest a statistically significant decrease in total employment of 1.2% 1 year after the expansion of Medicaid. This translates into a 37% decrease in employment among newly eligible Medicaid enrollees under the strong assumption that Medicaid coverage did not crowd out private insurance coverage. We also find that this disemployment effect is transitory: 2 years after the Medicaid expansion employment returns to preexpansion levels. We do not find any statistically significant effect of the Medicaid expansion on wages at any point.
(© 2019 John Wiley & Sons, Ltd.)
Databáze: MEDLINE
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