The Impact of the Affordable Care Act: Evidence from California&Apos;S Hospital Sector

  title={The Impact of the Affordable Care Act: Evidence from California\&Apos;S Hospital Sector},
  author={M. Duggan and E. Jackson and Atul Gupta},
  journal={SIRN: Low Income Elderly (Topic)},
The Affordable Care Act (ACA) authorized the largest expansion of public health insurance in the U.S. since the mid-1960s. We exploit ACA-induced changes in the discontinuity in coverage at age 65 using a regression discontinuity based design to examine effects of the expansion on health insurance coverage, hospital use, and patient health. We then link these changes to effects on hospital finances. We show that a substantial share of the federally-funded Medicaid expansion substituted for… Expand
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