Abstract
Using data from the Behavioral Risk Factor Surveillance System, we examine the causal impact of the Affordable Care Act on health-related outcomes after 3 years. We estimate difference-in-difference-in-differences models that exploit variation in treatment intensity from 2 sources: (1) local area prereform uninsured rates from 2013 and (2) state participation in the Medicaid expansion. Including the third postreform year leads to 2 important insights. First, gains in health insurance coverage and access to care from the policy continued to increase in the third year. Second, an improvement in the probability of reporting excellent health emerged in the third year, with the effect being largely driven by the non-Medicaid expansions components of the policy.
Document Type
Article
Publication Date
9-6-2018
Digital Object Identifier (DOI)
https://doi.org/10.1177/0046958018796361
Related Content
Supplemental material for this article is available online.
Repository Citation
Courtemanche, Charles J.; Marton, James; Ukert, Benjamin; Yelowitz, Aaron; and Zapata, Daniela, "Effects of the Affordable Care Act on Health Care Access and Self-Assessed Health After 3 Years" (2018). Economics Faculty Publications. 3.
https://uknowledge.uky.edu/economics_facpub/3
Supplemental Material
Included in
Health Economics Commons, Health Services Administration Commons, Health Services Research Commons, Statistics and Probability Commons
Notes/Citation Information
Published in INQUIRY: The Journal of Health Care Organization, Provision, and Financing, v. 55, p. 1-10.
© The Author(s) 2018
This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).