The following is the abstract from the paper, "The Impact of Health Insurance on Preventive Care and Health Behaviors: Evidence from the First Two Years of the ACA Medicaid Expansions," by Simon, Soni, Cawley (2017 The U.S. population receives suboptimal levels of preventive care and has a high prevalence of risky he behaviors. One goal of the Affordable Care Act (ACA) was to increase preventive care and improve hear behaviors by expanding access to health insurance. This paper estimates how the ACA-facilitated state- expansions of Medicaid in 2014 affected these outcomes. Using data from the Behavioral Risk Factor Surveillance System, and a difference-in-differences model that compares states that did and did not exp Medicaid, we examine the impact of the expansions on preventive care (e.g., dental visits, immunization. mammograms, cancer screenings), risky health behaviors (e.g., smoking, heavy drinking, lack of exercis obesity), and self-assessed health. We find that the expansions increased insurance coverage and acces care among the targeted population of low-income childless adults. The expansions also increased use o certain forms of preventive care, but there is no evidence that they increased ex ante moral hazard (i.e.,
The following is the abstract from the paper, "The Impact of Health Insurance on Preventive Care and Health Behaviors: Evidence from the First Two Years of the ACA Medicaid Expansions," by Simon, Soni, Cawley (2017 The U.S. population receives suboptimal levels of preventive care and has a high prevalence of risky he behaviors. One goal of the Affordable Care Act (ACA) was to increase preventive care and improve hear behaviors by expanding access to health insurance. This paper estimates how the ACA-facilitated state- expansions of Medicaid in 2014 affected these outcomes. Using data from the Behavioral Risk Factor Surveillance System, and a difference-in-differences model that compares states that did and did not exp Medicaid, we examine the impact of the expansions on preventive care (e.g., dental visits, immunization. mammograms, cancer screenings), risky health behaviors (e.g., smoking, heavy drinking, lack of exercis obesity), and self-assessed health. We find that the expansions increased insurance coverage and acces care among the targeted population of low-income childless adults. The expansions also increased use o certain forms of preventive care, but there is no evidence that they increased ex ante moral hazard (i.e.,
Chapter1: U.s. Medical Care: An Uncertain Future
Section: Chapter Questions
Problem 5QAP
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Transcribed Image Text:The following is the abstract from the paper, "The Impact of Health Insurance on Preventive Care and Health
Behaviors: Evidence from the First Two Years of the ACA Medicaid Expansions," by Simon, Soni, Cawley (2017).
The U.S. population receives suboptimal levels of preventive care and has a high prevalence of risky health
behaviors. One goal of the Affordable Care Act (ACA) was to increase preventive care and improve health
behaviors by expanding access to health insurance. This paper estimates how the ACA-facilitated state-level
expansions of Medicaid in 2014 affected these outcomes. Using data from the Behavioral Risk Factor
Surveillance System, and a difference-in-differences model that compares states that did and did not expand
Medicaid, we examine the impact of the expansions on preventive care (e.g., dental visits, immunizations,
mammograms, cancer screenings), risky health behaviors (e.g., smoking, heavy drinking, lack of exercise,
obesity), and self-assessed health. We find that the expansions increased insurance coverage and access to
care among the targeted population of low-income childless adults. The expansions also increased use of
certain forms of preventive care, but there is no evidence that they increased ex ante moral hazard (i.e., there is
no evidence that risky health behaviors increased in response to health insurance coverage). The Medicaid
expansions also modestly improved self-assessed health.
From reading this abstract you can conclude that:
O
There is evidence of adverse selection in this market.
There might be an "upside" to moral hazard.
Moral hazard is always inefficient and will lead to social loss.
This is evidence of ex-post moral hazard.
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