New Evidence on the Effects of Dependent Coverage Mandates PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download New Evidence on the Effects of Dependent Coverage Mandates PDF full book. Access full book title New Evidence on the Effects of Dependent Coverage Mandates by Aaron M. Gamino. Download full books in PDF and EPUB format.
Author: Aaron M. Gamino
Publisher:
ISBN:
Category :
Languages : en
Pages : 66
Get Book Here
Book Description
I provide new evidence on the effects of state and the ACA dependent mandates by compiling original legal data on the timing and content of initial state adoption of these laws during the 1980s to present. Using this data, I show mandates led to a large and robust increase in young adult insurance coverage and leads to significant differences when replicating prior work. I find supporting evidence that most of the ACAs impact came from self-insured firms adhering to the federal mandate. Mandates led to increased educational attainment, decreased the likelihood of having a child in the past year and affected labor supply decisions of young adults.
Author: Aaron M. Gamino
Publisher:
ISBN:
Category :
Languages : en
Pages : 66
Get Book Here
Book Description
I provide new evidence on the effects of state and the ACA dependent mandates by compiling original legal data on the timing and content of initial state adoption of these laws during the 1980s to present. Using this data, I show mandates led to a large and robust increase in young adult insurance coverage and leads to significant differences when replicating prior work. I find supporting evidence that most of the ACAs impact came from self-insured firms adhering to the federal mandate. Mandates led to increased educational attainment, decreased the likelihood of having a child in the past year and affected labor supply decisions of young adults.
Author: Scott Barkowski
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
Get Book Here
Book Description
State governments have been passing laws mandating insurers to allow young adults to stay on their parents' health insurance plans past the age of 19 since the 1970s. These laws were intended to increase coverage, but research has been inconclusive on whether they were successful. We reconsider the issue with an improved approach featuring three key elements: a new, accurate dataset on state mandates; recognition that effects could differ greatly by age due to take up rate differences; and avoidance of endogenous characteristics when identifying mandate eligible young adults. We find the impact of the state mandates was concentrated among the 19 to 22 age group, for which dependent coverage increased sharply by about 6 percentage points. Overall coverage increased by almost 3 percentage points, with the difference explained by crowd out of public insurance. Crowd out of coverage through young adults own jobs was negligible. For those above age 22, we find little evidence of changes in coverage. We incorporate these insights into analysis of the Affordable Care Act (ACA) dependent coverage mandate, showing its effects were focused among those whom were previously ineligible for state mandates, or were eligible but older than 22. We argue the ACA's impact was broader because it had fewer eligibility conditions that implied parental dependence; young adults could be on their parents' insurance but still be relatively independent.
Author: Nathan Blascak
Publisher:
ISBN:
Category :
Languages : en
Pages :
Get Book Here
Book Description
Author: Baris Yoruk
Publisher:
ISBN:
Category :
Languages : en
Pages : 51
Get Book Here
Book Description
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.
Author: Jennifer Trudeau
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
Get Book Here
Book Description
This research investigates two features of the Affordable Care Act that especially affect young adults, the young adult-dependent coverage (YAD) mandate and the requirement to cover contraception (CM). Both mandates were first enacted at the state level but have been studied only in isolation. We estimate a wide range of models allowing these mandates to have joint effects on insurance coverage, health-care access, health outcomes and fertility. We provide new evidence that helps settle the mixed findings from past state-level YAD and CM research and suggests the two mandates may combine to improve the well-being of young adults.
Author: Gopi Shah Goda
Publisher:
ISBN:
Category : Dependents
Languages : en
Pages : 36
Get Book Here
Book Description
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.
Author: Greg Colman
Publisher:
ISBN:
Category : Dependents
Languages : en
Pages : 0
Get Book Here
Book Description
One of the main purposes of the Patient Protection and Affordable Care Act (ACA) is to enable Americans to make more productive use of their time. This is apparent in the rationale given for the ACA's extension of dependent care coverage, which requires employer-sponsored insurance plans that cover the children of insured workers to continue to cover these dependents until they turn 26. While a number of studies have examined the effect of the ACA's dependent coverage provision on work, none that we are aware has examined other uses of time. If, as predicted, the provision reduced the amount of time young adults work, the question arises, what have these young adults done with this time? A related question is whether the change has made them better off. We use the American Time Use Survey (2003-2013) to assess how the ACA's dependent coverage mandate has affected labor supply among young adults, and to provide some of the first evidence on time use other than working, such as educational activities, obtaining medical care, and pursuing leisure activities. Estimates suggest that the ACA's dependent coverage provision has reduced labor supply and job-lock, as well as the duration of the average doctor's visit, including time spent waiting for and receiving medical care, among persons ages 19-25. The latter effect is consistent with a substitution from hospital ER utilization to greater routine physician care. The extra time has gone into socializing, and to a lesser extent, into education and job search. Availability of insurance and change in work time appear to have increased young adults' subjective well-being, enabling them to spend time on activities they view as more meaningful than those they did before insurance became available.
Author: Vinish Shrestha
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
Get Book Here
Book Description
The primary goal of the federal dependent coverage mandate was to increase health insurance coverage among young adults, the group with the lowest prevalence of health insurance coverage. To understand the full impacts of the federal dependent coverage mandate, it is important to evaluate how the mandate affects labor market activities and time spent away from work among young adults. Using data from the Consumer Population Survey (CPS) and the American Time Use Survey (ATUS) and implementing a difference-in-differences framework, we find: 1) Young adults substitute employer sponsored insurance for dependent coverage, 2) Affected individuals reduce their work time and switch from full- to part-time employment, and 3) The additional time from reduced labor market activity is reallocated towards more time spent on leisure activities, mainly watching television. The effects of the mandate on labor market activities are stronger in later years. Furthermore, we show that young adults do not increase the time they spend on activities that could enhance their human capital such as education and health, which reemphasizes potential unintended consequences of the mandate. These findings suggest that future work is necessary to fully understand the overall welfare effects of the policy.
Author: Sherry Glied
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
Get Book Here
Book Description
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.
Author: Greg Colman
Publisher:
ISBN:
Category : Dependents
Languages : en
Pages : 36
Get Book Here
Book Description
