Effects of the affordable care act on health care access and self-assessed health after 3 years

Charles Courtemanche, James Marton, Benjamin Ukert, Aaron Yelowitz, Daniela Zapata

Research output: Contribution to journalArticlepeer-review

48 Scopus citations

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.

Original languageEnglish
JournalInquiry (United States)
Volume55
DOIs
StatePublished - Jan 1 2018

Bibliographical note

Publisher Copyright:
© The Author(s) 2018.

Keywords

  • Access to care
  • Affordable care act
  • Health
  • Health care access
  • Health insurance
  • Self-assessed health
  • Self-reported health

ASJC Scopus subject areas

  • Health Policy

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