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Abstract
We estimate the dynamics and interactions of governmental spending on Medicaid and other public health services in all 50 states over a 15 year period. 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
11-20-2014
Funding Information
Supported by The Robert Wood Johnson Foundation
Repository Citation
Mays, Glen P., "The Dynamics of Medicaid & Public Health Spending: Implications for ACA Implementation" (2014). Health Management and Policy Presentations. 87.
https://uknowledge.uky.edu/hsm_present/87
Included in
Health and Medical Administration Commons, Health Economics Commons, Health Policy Commons, Health Services Research Commons
Notes/Citation Information
A presentation at the University of Kentucky Public Health Grand Rounds in Lexington, KY.