健康保险获取与住院医疗服务使用:来自《平价医疗法案》年轻成人强制条款的证据

Access to health insurance and the use of inpatient medical care: Evidence from the Affordable Care Act young adult mandate

Journal of Health Economics · 2014
被引 182 · 同刊同年前 5%
人大 AABS 3

中文导读

研究了2010年《平价医疗法案》允许年轻成人留在父母私人健康保险至26岁的政策对住院医疗服务使用的影响,发现19-25岁人群住院次数增加3.5%,精神疾病住院增加9.0%,且无保险比例下降12.5%。

Abstract

The Affordable Care Act of 2010 expanded coverage to young adults by allowing them to remain on their parent's private health insurance until they turn 26 years old. While there is evidence on insurance effects, we know very little about use of general or specific forms of medical care. We study the implications of the expansion on inpatient hospitalizations. Given the prevalence of mental health needs for young adults, we also specifically study mental health related inpatient care. We find evidence that compared to those aged 27-29 years, treated young adults aged 19-25 years increased their inpatient visits by 3.5 percent while mental illness visits increased 9.0 percent. The prevalence of uninsurance among hospitalized young adults decreased by 12.5 percent; however, it does not appear that the intensity of inpatient treatment changed despite the change in reimbursement composition of patients.

《平价医疗法案》青年强制条款住院医疗服务心理健康住院