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The Incidence Of The Affordable Care Act S Dependent Coverage Mandate


The Incidence Of The Affordable Care Act S Dependent Coverage Mandate
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The Incidence Of Mandated Health Insurance


The Incidence Of Mandated Health Insurance
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Author : Gopi Shah Goda
language : en
Publisher:
Release Date : 2016

The Incidence Of Mandated Health Insurance written by Gopi Shah Goda and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016 with Dependents categories.


The dependent care mandate is one of the most popular provisions of the 2010 Affordable Care Act (ACA). This provision requires that employer-based insurance plans cover health care expenditures for workers with children 26 years old or younger. While there has been considerable scholarly and policy interest in the effects of this mandate on health insurance coverage among young adults, there has been little scholarly work measuring the costs and incidence of this mandate and who pays the costs of it. In our empirical work, we exploit the fact that some states had dependent care mandates in years prior to the passage of the ACA. Using data from the Survey of Income and Program Participation (SIPP), we find that workers at firms with employer-based coverage -- whether or not they have dependent children -- experience an annual reduction in wages of approximately $1,200. Our results imply that the marginal costs of mandated employer-based coverage expansions are not entirely borne only by the people whose coverage is expanded by the mandate.



The Incidence Of The Affordable Care Act S Dependent Coverage Mandate


The Incidence Of The Affordable Care Act S Dependent Coverage Mandate
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Author : Sherry A. Glied
language : en
Publisher:
Release Date : 2023

The Incidence Of The Affordable Care Act S Dependent Coverage Mandate written by Sherry A. Glied and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023 with categories.


Economic theory and empirical studies conclude that the cost of voluntary employer-sponsored health insurance falls on employees. However, the distribution of incidence and the mechanism through which incidence occurs have not been well-established. We provide new evidence about incidence by examining the dependent coverage mandate in the ACA, which requires group insurance to allow adult children to age 26 to remain on their parents' policies. We establish that the incidence of the mandate fell on covered employees as a group. We then consider three situations in which the benefits of this new coverage to an employee differ from the costs to an employer. First, we compare incidence where the young adult dependent is the youngest child in the family to the situation where the child is not the youngest (so the family could add a dependent to existing family coverage). We find that incidence falls mainly on households where the newly-eligible child is the youngest in the household. Second, higher-income households face a lower tax price of coverage than do lower-income households. We find that the incidence of the mandate falls mainly on the highest income households. Finally, we find that the mandate leads to increased commuting time for parents of newly-eligible dependents.



The Dependent Coverage Mandate Took A Bite Out Of Crime


The Dependent Coverage Mandate Took A Bite Out Of Crime
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Author : Zachary S. Fone
language : en
Publisher:
Release Date : 2020

The Dependent Coverage Mandate Took A Bite Out Of Crime written by Zachary S. Fone and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020 with categories.


The Affordable Care Act's Dependent Coverage Mandate (DCM) induced approximately two million young adults to join parental employer-sponsored health insurance (ESI) plans. This study is the first to explore the impact of the DCM on criminal arrests, a potentially important externality. Using data from the National Incident-Based Reporting System, we find that the DCM induced an 11 percent reduction in criminal incidents involving arrestees ages 19 to 25, driven by property crime declines. An examination of the underlying mechanisms suggests that declines in large out-of-pocket expenditures for health care, increased educational attainment, and increases in parent-adult child cohabitation may explain these crime declines. Back-of-the-envelope calculations suggest that the DCM generated approximately $3.1 billion in annual social benefits from crime reduction.



Effects Of The Affordable Care Act Dependent Coverage Mandate On Health Insurance Coverage For Individuals In Same Sex Couples


Effects Of The Affordable Care Act Dependent Coverage Mandate On Health Insurance Coverage For Individuals In Same Sex Couples
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Author : Christopher Scott Carpenter
language : en
Publisher:
Release Date : 2020

Effects Of The Affordable Care Act Dependent Coverage Mandate On Health Insurance Coverage For Individuals In Same Sex Couples written by Christopher Scott Carpenter and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020 with Gay couples categories.


A large body of research documents that the 2010 dependent coverage mandate of the Affordable Care Act was responsible for significantly increasing health insurance coverage among young adults. No prior research has examined whether sexual minority young adults also benefitted from the dependent coverage mandate, despite previous studies showing lower health insurance coverage among sexual minorities and the fact that their higher likelihood of strained relationships with their parents might predict a lower ability to use parental coverage. Our estimates from the American Community Surveys using difference-in-differences and event study models show that men in same-sex couples age 21-25 were significantly more likely to have any health insurance after 2010 compared to the associated change for slightly older 27 to 31-year-old men in same-sex couples. This increase is concentrated among employer-sponsored insurance, and it is robust to permutations of time periods and age groups. Effects for women in same-sex couples and men in different-sex couples are smaller than the associated effects for men in same-sex couples. These findings confirm the broad effects of expanded dependent coverage and suggest that eliminating the federal dependent mandate could reduce health insurance coverage among young adult sexual minorities in same-sex couples.



The Affordable Care Act


The Affordable Care Act
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Author : Tamara Thompson
language : en
Publisher: Greenhaven Publishing LLC
Release Date : 2014-12-02

The Affordable Care Act written by Tamara Thompson and has been published by Greenhaven Publishing LLC this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-12-02 with Young Adult Nonfiction categories.


The Patient Protection and Affordable Care Act (ACA) was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage, and reduce the costs of healthcare overall. Along with sweeping change came sweeping criticisms and issues. This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout.



Health Care Utilization As A Proxy In Disability Determination


Health Care Utilization As A Proxy In Disability Determination
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2018-04-02

Health Care Utilization As A Proxy In Disability Determination written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-04-02 with Medical categories.


The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.



Health Insurance Coverage And Health Care Utilization


Health Insurance Coverage And Health Care Utilization
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Author : Baris Yoruk
language : en
Publisher:
Release Date : 2017

Health Insurance Coverage And Health Care Utilization written by Baris Yoruk and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.


This paper investigates the impact of the Affordable Care Act's (ACA's) dependent coverage mandate on health insurance coverage rates and health care utilization among young adults. Using data from the Medical Panel Expenditure Survey, I exploit the discontinuity in health insurance coverage rates at age 26, the new dependent coverage age cutoff enforced by the ACA. Under alternative regression discontinuity design models, I find that 2.5% to 5.3% of young adults lose their health insurance coverage once they turn 26. This effect is mainly driven by those who lose their private health insurance plan coverage and those who lose their health insurance plan coverage, whose main holder resides outside of the household. I also find that the discrete change in health insurance coverage rates at age 26 is associated with significant changes in office-based physician and dental visits, but does not have a significant impact on the utilization of outpatient or emergency department services. Furthermore, the effects of the ACA's dependent coverage mandate on health care spending and out-of-pocket costs are insignificant. These results are robust under alternative model specifications.



Effects Of Federal Policy To Insure Young Adults


Effects Of Federal Policy To Insure Young Adults
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Author : Yaa Akosa Antwi
language : en
Publisher:
Release Date : 2012

Effects Of Federal Policy To Insure Young Adults written by Yaa Akosa Antwi and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with Economics categories.


We study the health insurance and labor market implications of the recent Affordable Care Act (ACA) provision that allows dependents to remain on parental policies until age 26 using data from the Survey of Income and Program Participation (SIPP). Our comparison of outcomes for young adults aged 19-25 with those who are older and younger, before and after the law, shows a high take-up of parental coverage, resulting in substantial reductions in uninsurance and other forms of coverage. We also find preliminary evidence of increased labor market flexibility in the form of reduced work hours.



Impacts Of The Affordable Care Act Dependent Coverage Provision On Health Related Outcomes Of Young Adults


Impacts Of The Affordable Care Act Dependent Coverage Provision On Health Related Outcomes Of Young Adults
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Author : Silvia Barbaresco
language : en
Publisher:
Release Date : 2014

Impacts Of The Affordable Care Act Dependent Coverage Provision On Health Related Outcomes Of Young Adults written by Silvia Barbaresco and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with Economics categories.


The first major insurance expansion of the Affordable Care Act -- a provision requiring insurers to allow dependents to remain on parents' health insurance until turning 26 -- took effect in September 2010. We estimate this mandate's impacts on numerous health-related outcomes using a difference-in-differences approach with 23-25 year olds as the treatment group and 27-29 year olds as the control group. For the full sample, the dependent coverage provision increased the probabilities of having insurance, a primary care doctor, and excellent self-assessed health, while decreasing unmet medical needs because of cost. However, we find no evidence of improvements in preventive care utilization or health behaviors. Subsample analyses reveal particularly striking gains for college graduates, including reduced obesity. Finally, we show that the mandate's impacts on 19-22 year olds were generally weaker than those on 23-25 year olds, although we observe a reduction in pregnancies for unmarried 19-22 year old women.



The Affordable Care Act Dependent Health Insurance Coverage And Young Adults Health


The Affordable Care Act Dependent Health Insurance Coverage And Young Adults Health
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Author : Daniel Carlson
language : en
Publisher:
Release Date : 2013

The Affordable Care Act Dependent Health Insurance Coverage And Young Adults Health written by Daniel Carlson and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with categories.


This study examines the consequences of the Patient Protection and Affordable Care Act (ACA) dependent coverage provision for the health of U.S. young adults age 19-25. Using data from the Current Population Survey - March Supplement for the years 2007 to 2012 we employ ordered logistic regression analyses and examine the mediating effect of dependent coverage on the association between self-reported health for 19-25 year olds and a comparison group of 28-34 year olds before and after implementation of the ACA. Compared to 28-34 year olds, results indicate the post-ACA period (2010-2011) is associated with increased access to dependent health insurance coverage and improved health for young adults age 19-25 relative to the period before implementation (2008-2009). More than half of the difference in health improvement across age groups can be attributed to changes in dependent coverage. These results are the first to demonstrate a positive health benefit resulting from the implementation of the ACA.