《平价医疗法案》实施前后健康保险覆盖的不平等

Inequality in health insurance coverage before and after the Affordable Care Act

Health Economics · 2020
被引 8
人大 A-

中文导读

研究《平价医疗法案》如何影响美国健康保险覆盖的收入相关不平等,发现该法案通过医疗补助扩展减少了不平等,保险交易所也起到一定作用。

Abstract

This study examines how the Affordable Care Act (ACA) affected income related inequality in health insurance coverage in the United States. Analyzing data from the American Community Survey (ACS) from 2010 through 2018, we apply difference-in-differences, and triple-differences estimation to the Recentered Influence Function OLS estimation. We find that the ACA reduced inequality in health insurance coverage in the United States. Most of this reduction was a result of the Medicaid expansion. Additional decomposition analysis shows there was little change in inequality of coverage through an employer plan, and a decrease in inequality for coverage through direct purchase of health insurance. These results indicate that the insurance exchanges also contributed to declining inequality in health insurance coverage.

《平价医疗法案》医疗保险覆盖率收入不平等医疗补助扩展