In this paper, we examine the effects of recent parental Medicaid eligibility expansions on Medicaid participation and private insurance coverage. We present a new approach for estimating these policy effects that explicitly models the particular policy instrument over which legislators have control-income eligibility thresholds. Our approach circumvents estimation problems stemming from misclassification or measurement error. Moreover, it allows us to assess how the policy effects may vary at different initial threshold levels. Using data from the Survey of Income and Program Participation, we find three main results. First, the eligibility expansions result in significant increases in Medicaid participation; a "typical" expansion increases Medicaid participation by about four percent of baseline coverage rates. Second, the participation effect is larger for lower initial thresholds and the effect decreases as Medicaid thresholds increase. Third, we find no statistically significant evidence of crowd out regardless of initial threshold level.

译文

:在本文中,我们研究了最近的父母医疗补助资格扩展对医疗补助参与和私人保险覆盖范围的影响。我们提出了一种估计这些政策影响的新方法,该方法明确地对立法者具有控制收入资格阈值的特定政策工具进行建模。我们的方法规避了由于分类错误或测量错误而引起的估计问题。此外,它使我们能够评估政策效果在不同的初始阈值水平下可能如何变化。使用收入和计划参与调查的数据,我们发现了三个主要结果。首先,资格的扩大导致医疗补助的参与显着增加。 “典型”的扩张使医疗补助计划的参与率增加了基线覆盖率的约4%。其次,对于较低的初始阈值,参与效应较大,并且随着医疗补助阈值的增加,参与效应减小。第三,我们发现无论初始阈值水平如何,都没有统计学上显着的证据表明存在排挤现象。

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