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Title: Consequences of Medicaid Expansions on Three Outcomes: Demand for Private Insurance, Infant and Child Health, and Labor Supply
Resulting in 1 citation.
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Yazici, Esel Y. |
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Consequences of Medicaid Expansions on Three Outcomes: Demand for Private Insurance, Infant and Child Health, and Labor Supply Ph.D. Dissertation, City University of New York, 1997 Cohort(s): Children of the NLSY79, NLSY79 Publisher: ProQuest Dissertations & Theses (PQDT) Keyword(s): Benefits, Insurance; Birthweight; Child Health; Children, Health Care; Children, Illness; Children, Poverty; Health Care; Health, Chronic Conditions; Medicaid/Medicare; National Health Interview Survey (NHIS); Pre-natal Care/Exposure Permission to reprint the abstract has not been received from the publisher. In the mid-1980s, Congress expanded Medicaid coverage to near-poor pregnant women and children. The aim was to provide health insurance coverage to the uninsured and increase their utilization of health care services. Beginning with the Deficit Reduction Act of 1984, the link between Medicaid eligibility and other cash assistance programs was severed. Low-income pregnant women and children, who initially did not fit into traditional welfare categories, gained access to publicly financed health care. These expansions in eligibility produced a sharp rise in the number of children and pregnant women covered by Medicaid. The expansions in Medicaid eligibility had intended and unintended consequences on several outcomes. First of these was on private health insurance. There was a possibility that near-poor individuals who initially had private coverage switched to Medicaid. Since this indicates only a shift in financing of care from private to public insurance, the consequence would be little or no change in health care utilization and health. In the first essay, I found that Medicaid expansions had no effect on privately covered individuals, but a large impact on those who were initially uninsured. The second potential consequence of Medicaid expansions was on infant and child health outcomes. Even though expanded eligibility gave rise to a substantial increase in enrollment rates, the effectiveness of the public program was conditional on improving the health of infants and children. In the second essay, the effect of Medicaid on infant and child health has been extensively examined and only limited evidence has been found on Medicaid coverage improving health outcomes. A third possible effect of the Medicaid expansions was on labor supply and welfare participation of female heads. Elimination of the link between the cash assistance program and Medicaid created new incentives in the labor markets for welfare recipients. The expected consequences were an increase in labor supply and reduction in welfare rolls. I analyzed this issue in the third essay and found very little evidence on the effect of Medicaid on labor supply and welfare participation for female heads. |
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Bibliography Citation
Yazici, Esel Y. Consequences of Medicaid Expansions on Three Outcomes: Demand for Private Insurance, Infant and Child Health, and Labor Supply. Ph.D. Dissertation, City University of New York, 1997. |