6. A central goal of the Affordable Care Act (ACA) the number of uninsured by providing a continuum of affordable coverage options through Medicaid and the Health Insurance Marketplaces. The ACA expands Medicaid coverage for most low-income adults to 138% of the federal poverty level. Following the June 2012 Supreme Court decision, states face a decision about whether to adopt the Medicaid expansion. On or before January 1, 2019, 31 states and the District of Columbia expanded Medicaid eligibility. To analyze the effect of the Medicaid expansion on private health insurance coverage, using a state-level data drawn from the 2010-18 American Community Surveys, the following difference-in-differences model was estimated controlling for all year and state effects, as well as covariates for poor, child and senior, by using the de-meaned approach. Variable name Description expansion priv_hi senior child poor st year 1 for the expansion states after Medicaid expansion and 0 otherwise Percentage of the state population covered by private health insurance Percentage of the state population age 65 and over Percentage of the state population under age 18 Percentage of the state population under poverty State id code Year xtreg priv_hi expansion poor child senior i.year, fe i(st) priv_hi | Coef. Std. Err. expansion poor child senior | -1.498876 -.560855 0133366 .2059079 .143577 .0590209 .1757138 .1536842 t P>|t| [95% Conf. Interval] -1.216607 -.4448214 0.000 -10.44 -9.50 0.000 0.08 0.940 1.34 0.181 -1.781144 -.6768885 -.3321119 -.0962311 .3587851 .5080469 What is the effect of the Medicaid expansion on private health insurance coverage? Also interpret the magnitude of the three covariates if they are statistically significant.

EBK HEALTH ECONOMICS AND POLICY
7th Edition
ISBN:9781337668279
Author:Henderson
Publisher:Henderson
Chapter4: Economic Evaluation In Health Care
Section: Chapter Questions
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mmolat
6.
A central goal of the Affordable Care Act (ACA) is to significantly reduce
the number of uninsured by providing a continuum of affordable coverage options
through Medicaid and the Health Insurance Marketplaces. The ACA expands Medicaid
coverage for most low-income adults to 138% of the federal poverty level. Following the
June 2012 Supreme Court decision, states face a decision about whether to adopt the
Medicaid expansion. On or before January 1, 2019, 31 states and the District of Columbia
expanded Medicaid eligibility. To analyze the effect of the Medicaid expansion on
private health insurance coverage, using a state-level data drawn from the 2010-18
American Community Surveys, the following difference-in-differences model was
estimated controlling for all year and state effects, as well as covariates for poor, child
and senior, by using the de-meaned approach.
Variable name Description
expansion
priv_hi
senior
child
poor
st
year
1 for the expansion states after Medicaid expansion and 0 otherwise
Percentage of the state population covered by private health insurance
Percentage of the state population age 65 and over
Percentage of the state population under age 18
Percentage of the state population under poverty
State id code
Year
xtreg priv_hi expansion poor child senior i.year, fe i (st)
expansion
poor
child
senior
priv_hi |
Coef.
-1.498876
-.560855
.0133366
2059079
Std. Err.
(4)
.143577
.0590209
.1757138
. 1536842
t P>|t|
-10.44 0.000
-9.50 0.000
0.08
0.940
1.34 0.181
[95% Conf. Interval]
-1.781144
-.6768885
.3321119
-.0962311
-1.216607
-.4448214
.3587851
.5080469
What is the effect of the Medicaid expansion on private health insurance coverage? Also
interpret the magnitude of the three covariates if they are statistically significant.
Transcribed Image Text:mmolat 6. A central goal of the Affordable Care Act (ACA) is to significantly reduce the number of uninsured by providing a continuum of affordable coverage options through Medicaid and the Health Insurance Marketplaces. The ACA expands Medicaid coverage for most low-income adults to 138% of the federal poverty level. Following the June 2012 Supreme Court decision, states face a decision about whether to adopt the Medicaid expansion. On or before January 1, 2019, 31 states and the District of Columbia expanded Medicaid eligibility. To analyze the effect of the Medicaid expansion on private health insurance coverage, using a state-level data drawn from the 2010-18 American Community Surveys, the following difference-in-differences model was estimated controlling for all year and state effects, as well as covariates for poor, child and senior, by using the de-meaned approach. Variable name Description expansion priv_hi senior child poor st year 1 for the expansion states after Medicaid expansion and 0 otherwise Percentage of the state population covered by private health insurance Percentage of the state population age 65 and over Percentage of the state population under age 18 Percentage of the state population under poverty State id code Year xtreg priv_hi expansion poor child senior i.year, fe i (st) expansion poor child senior priv_hi | Coef. -1.498876 -.560855 .0133366 2059079 Std. Err. (4) .143577 .0590209 .1757138 . 1536842 t P>|t| -10.44 0.000 -9.50 0.000 0.08 0.940 1.34 0.181 [95% Conf. Interval] -1.781144 -.6768885 .3321119 -.0962311 -1.216607 -.4448214 .3587851 .5080469 What is the effect of the Medicaid expansion on private health insurance coverage? Also interpret the magnitude of the three covariates if they are statistically significant.
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