Abstract
In this paper we estimate the causal impact of state Medicaid enrollment expansions and expenditures on state and local resources allocated to other public health programs and services. Using a quasi-experimental design with instrumental variables estimation, we find evidence that increased Medicaid spending leads to reduced governmental spending on other public health services, consistent with a crowd-out effect. Over 10 years, such crowd-out has the potential to diminish the health status improvements generated through health insurance coverage expansions.
Document Type
Presentation
Publication Date
11-18-2014
Funding Information
- Funded by the Robert Wood Johnson Foundation through the National Coordinating Center for Public Health Services & Systems Research
- Supported by the NIH National Center for Advancing Translational Science through the Kentucky Center for Clinical and Translational Science
Repository Citation
Mays, Glen P., "Medicaid Expansions & Public Health Spending: Cross-Subsidies, Complementarities, and Crowd-Out" (2014). Health Management and Policy Presentations. 83.
https://uknowledge.uky.edu/hsm_present/83
Included in
Health and Medical Administration Commons, Health Economics Commons, Health Policy Commons, Health Services Research Commons
Notes/Citation Information
A presentation at the American Public Health Association Annual Meeting in New Orleans, LA.