author={Jonathan H Gruber},
  journal={National Tax Journal},
  pages={893 - 908}
  • J. Gruber
  • Published 1 June 2011
  • Medicine
  • National Tax Journal
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… 
Key Provisions of the Patient Protection and Affordable Care Act (ACA): A Systematic Review and Presentation of Early Research Findings.
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.
Impacts of the Affordable Care Act on Health Insurance Coverage in Medicaid Expansion and Non-Expansion States
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.
Who bears the burden of the U.S. health reform? An Event Study Incidence Analysis
On March 23, 2010, President Obama signed the Patient Protection and Affordable Care Act (ACA) into law. The ACA includes a wide-reaching set of reforms to ensure more universal and comprehensive
The Impact of Medicaid Expansion Under the Affordable Care Act on Accessibility and Availability of Primary Health Care
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.
Health Insurance, Chronic Disease, and the Affordable Care Act: How Important are Selection Effects?
  • Medicine, Economics
  • 2019
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.
Modeling the Impact of the Affordable Care Act and the Individual Mandate on Californians
This work used the California Simulation of Insurance Markets (CalSIM) model to predict the experience of consumers in California, who will be faced with new insurance options through Medicaid, employer-sponsored insurance, and the individual market in 2014 and beyond.
Health Affairs Act ? Will Employers Drop Health Insurance Coverage Because Of The Affordable Care
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
What Does Health Reform Mean for the Healthcare Industry? Evidence from the Massachusetts Special Senate Election
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
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


The Effect of Massachusetts' Health Reform on Employer-Sponsored Insurance Premiums
It is found that health reform in Massachusetts increased single-coverage employer-sponsored insurance premiums by about 6 percent, or $262.5m, in 2008, and policy makers should be concerned about the consequences of health reform for the cost of private insurance.
Covering the Uninsured in the United States
One of the major social policy issues facing the United States in the first decade of the twenty-first century is the large number of Americans lacking health insurance. This article surveys the
The Long-Term Budget Outlook
Abstract : Projected growth in spending on the federal government's big health and retirement programs -Medicare, Medicaid, and Social Security dominates the long-run budget outlook. If current
Sources of Health Insurance and Characteristics of the Uninsured: Analysis of the March 2010 Current Population Survey
  • P. Fronstin
  • Medicine, Political Science
    EBRI issue brief
  • 2010
This paper provides historic data through 2009 on the number and percentage of nonelderly individuals with and without health insurance and discusses trends in coverage for the 1994-2009 period and highlights characteristics that typically indicate whether an individual is insured.
Access and affordability: an update on health reform in Massachusetts, fall 2008.
Building on that coverage expansion, access to and affordability of care in the commonwealth have improved, and Massachusetts continues to offer lessons for national reform efforts.
In response to your request, the Congressional Budget Office (CBO) has conducted a long-term analysis of your proposal to substantially change federal payments under the Medicare and Medicaid
The Tax Exclusion for Employer-Sponsored Health Insurance
This paper reviews the issues raised by and the impacts of the tax exclusion for employer-sponsored health insurance. After reviewing the arguments for and against this policy, I present evidence
Income, Poverty, and Health Insurance Coverage in the United States: 2004
This US Census Bureau report highlights the increasing poverty and racial inequality in America. In 2004, 45.8 million people did not have health insurance. The poverty rate increased from 12.5
Health-insurance plans.
  • N. W. Faxon
  • Medicine, Political Science
    The New England journal of medicine
  • 1946
Today some of the problems of medical sociology involving hospitals are explored, but it is discovered that there are no watertight compartments in medical sociology, and that a study of hospital problems immediately involves doctors, patients and prospective patients.