THE IMPACTS OF THE AFFORDABLE CARE ACT: HOW REASONABLE ARE THE PROJECTIONS?
@article{Gruber2011THEIO, title={THE IMPACTS OF THE AFFORDABLE CARE ACT: HOW REASONABLE ARE THE PROJECTIONS?}, author={Jonathan H Gruber}, journal={National Tax Journal}, year={2011}, volume={64}, pages={893 - 908} }
The Patient Protection and Affordable Care Act (ACA) is the most comprehensive reform of the U.S. medical system in at least 45 years. The ACA transforms the non-group insurance market in the United States, mandates that most residents have health insurance, significantly expands public insurance and subsidizes private insurance coverage, raises revenues from a variety of new taxes, and reduces and reorganizes spending under the nation's largest health insurance plan, Medicare. Projecting the…
70 Citations
Key Provisions of the Patient Protection and Affordable Care Act (ACA): A Systematic Review and Presentation of Early Research Findings.
- Medicine, Political ScienceHealth services research
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Overall, research shows that the ACA has substantially decreased the number of uninsured individuals through the dependent coverage provision, Medicaid expansion, health insurance exchanges, availability of subsidies, and other policy changes.
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The causal effects of the ACA on health insurance coverage in 2014 using data from the American Community Survey are estimated using difference- in-difference-in-differences models that exploit cross-sectional variation in the intensity of treatment arising from state participation in the Medicaid expansion and local area pre-ACA uninsured rates.
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The impact of Medicaid expansion on the likelihood of accessing primary healthcare in expansion states relative to non-expansion states is not statistically significant, however, during the second year following Medicaid expansion in Illinois, New Jersey, and Oregon, average appointment wait times for Medicaid patients increased.
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It is discovered that the penalty is an important instrument to counteract general selection effects, i.e. that higher risks are more likely to take out health insurance and improves the overall risk pool.
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- Medicine
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- Medicine, Economics
- 2013
Since the passage of the Affordable Care Act, there has been much speculation about how many employers will stop offering health insurance once the act’s major coverage provisions take effect. Some…
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- Medicine
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Analysis of firms participating in government programs show that firms involved with Medicare Advantage experienced gains while those involved with Medicaid Managed Care experienced losses due to the election.
Plan Generosity in Health Insurance Exchanges: What the Affordable Care Act Can Teach Us About Top-Down vs. Bottom-Up Policy Implementation
- Medicine, Political Science
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The study examines if state, federal, or partnership exchanges were most effective at offering generous plans based on premiums, deductibles, and copayments and unambiguously indicates that state exchanges wereMost successful.
Premium Subsidies, the Mandate, and Medicaid Expansion: Coverage Effects of the Affordable Care Act
- Economics, MedicineJournal of health economics
- 2017
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