The affordable care act and ambulance response times

Charles Courtemanche; Andrew Friedson; Andrew P. Koller; Daniel I. Rees

doi:10.1016/j.jhealeco.2019.05.010

The affordable care act and ambulance response times

Charles Courtemanche, Andrew Friedson, Andrew P. Koller, Daniel I. Rees

Economics

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

This study contributes to the literature on the capacity challenges faced by health care providers after insurance expansions by examining the Affordable Care Act (ACA) and ambulance response times. Exploiting temporal and geographic variation in the implementation of the ACA as well as pre-treatment differences in uninsured rates, we estimate that the expansions of private and Medicaid coverage under the ACA combined to slow ambulance response times by an average of 24%. We conclude that, through extending coverage to individuals who, in its absence, would not have availed themselves of emergency medical services, the ACA added strain to emergency response systems.

Original language	English
Article number	102213
Journal	Journal of Health Economics
Volume	67
DOIs	https://doi.org/10.1016/j.jhealeco.2019.05.010
State	Published - Sep 2019

Bibliographical note

Funding Information:
We thank Chloe East, Joseph Garuccio, James Marton, Sarah Miller, Pierre Nguimkeu, Rusty Tchernis, Sebastian Tello-Trillo, Ben Ukert, Daniela Zapata, and seminar participants at the Indiana University Bloomington, University of Kentucky, San Diego State University, and the University of Louisville for their helpful comments and suggestions.

Publisher Copyright:
© 2019 Elsevier B.V.

Keywords

Affordable care act
Ambulance
Health care capacity
Health care workforce
Health insurance

ASJC Scopus subject areas

Health Policy
Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.jhealeco.2019.05.010

Cite this

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title = "The affordable care act and ambulance response times",

abstract = "This study contributes to the literature on the capacity challenges faced by health care providers after insurance expansions by examining the Affordable Care Act (ACA) and ambulance response times. Exploiting temporal and geographic variation in the implementation of the ACA as well as pre-treatment differences in uninsured rates, we estimate that the expansions of private and Medicaid coverage under the ACA combined to slow ambulance response times by an average of 24%. We conclude that, through extending coverage to individuals who, in its absence, would not have availed themselves of emergency medical services, the ACA added strain to emergency response systems.",

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AU - Friedson, Andrew

AU - Koller, Andrew P.

AU - Rees, Daniel I.

N1 - Funding Information: We thank Chloe East, Joseph Garuccio, James Marton, Sarah Miller, Pierre Nguimkeu, Rusty Tchernis, Sebastian Tello-Trillo, Ben Ukert, Daniela Zapata, and seminar participants at the Indiana University Bloomington, University of Kentucky, San Diego State University, and the University of Louisville for their helpful comments and suggestions. Publisher Copyright: © 2019 Elsevier B.V.

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N2 - This study contributes to the literature on the capacity challenges faced by health care providers after insurance expansions by examining the Affordable Care Act (ACA) and ambulance response times. Exploiting temporal and geographic variation in the implementation of the ACA as well as pre-treatment differences in uninsured rates, we estimate that the expansions of private and Medicaid coverage under the ACA combined to slow ambulance response times by an average of 24%. We conclude that, through extending coverage to individuals who, in its absence, would not have availed themselves of emergency medical services, the ACA added strain to emergency response systems.

AB - This study contributes to the literature on the capacity challenges faced by health care providers after insurance expansions by examining the Affordable Care Act (ACA) and ambulance response times. Exploiting temporal and geographic variation in the implementation of the ACA as well as pre-treatment differences in uninsured rates, we estimate that the expansions of private and Medicaid coverage under the ACA combined to slow ambulance response times by an average of 24%. We conclude that, through extending coverage to individuals who, in its absence, would not have availed themselves of emergency medical services, the ACA added strain to emergency response systems.

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KW - Health care capacity

KW - Health care workforce

KW - Health insurance

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The affordable care act and ambulance response times

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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