The Affordable Care Act and Ambulance Response Times

Charles Courtemanche, Andrew Friedson, Andrew P. Koller () and Daniel I. Rees ()
Additional contact information
Andrew P. Koller: University of Colorado Denver
Daniel I. Rees: Universidad Carlos III de Madrid

No 10951, IZA Discussion Papers from Institute of Labor Economics (IZA)

Abstract: This study contributes to the literature on supply-side adjustments to insurance expansions by examining the effect of the Affordable Care Act (ACA) on 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 19%. 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.

Keywords: health care capacity; health insurance; ambulance; Affordable Care Act; health care workforce (search for similar items in EconPapers)
JEL-codes: I11 I13 I18 (search for similar items in EconPapers)
Pages: 56 pages
Date: 2017-08
New Economics Papers: this item is included in nep-hea and nep-ias
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Citations: View citations in EconPapers (6)

Published - published in: Journal of Health Economics, 2019, 67, 102213

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Journal Article: The affordable care act and ambulance response times (2019)
Working Paper: The Affordable Care Act and Ambulance Response Times (2017)
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