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The Impact of the Affordable Care Act Medicaid Expansions on the Sources of Health Insurance Coverage of Undergraduate Students in the United States
- Source :
- Medical Care Research and Review. 79:299-307
- Publication Year :
- 2021
- Publisher :
- SAGE Publications, 2021.
-
Abstract
- This article examines how the Affordable Care Act Medicaid expansions affected the sources of health insurance coverage of undergraduate students in the United States. We show that the Affordable Care Act expansions increased the Medicaid coverage of undergraduate students by 5 to 7 percentage points more in expansion states than in nonexpansion states, resulting in 17% of undergraduate students in expansion states being covered by Medicaid postexpansion (up from 9% prior to the expansion). In contrast, the growth in employer and private direct coverage was 1 to 2 percentage points lower postexpansion for students in expansion states compared with nonexpansion states. Our findings demonstrate that policy efforts to expand Medicaid eligibility have been successful in increasing the Medicaid coverage rates for undergraduate students in the United States, but there is evidence of some crowd out after the expansions—that is, some students substituted their private and employer-sponsored coverage for Medicaid.
- Subjects :
- Insurance, Health
Medicaid
Patient Protection and Affordable Care Act
Health Policy
Eligibility Determination
Health Services Accessibility
Insurance Coverage
United States
Crowding out
Medicaid eligibility
Postsecondary education
Health insurance
Humans
Demographic economics
Medicaid coverage
Business
Students
Subjects
Details
- ISSN :
- 15526801 and 10775587
- Volume :
- 79
- Database :
- OpenAIRE
- Journal :
- Medical Care Research and Review
- Accession number :
- edsair.doi.dedup.....465da16805560e147676e26dc668558c