The Impact of Affordable Care Act Medicaid Expansions on Applications to Federal Disability Programs

Anand Priyanka, Hyde Jody Schimmel (), Colby Maggie and O’Leary Paul
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Anand Priyanka: George Mason University, Department of Health Administration and Policy, Fairfax, VA, USA
Hyde Jody Schimmel: Mathematica Policy Research, 1100 First St NE, 12th Floor, Washington, DC 20002, USA
Colby Maggie: Mathematica Policy Research, Washington, DC, USA
O’Leary Paul: Social Security Administration, Washington, DC, USA

Forum for Health Economics & Policy, 2018, vol. 21, issue 2, 20

Abstract: In this paper, we estimate the impact of Medicaid expansions via the Patient Protection and Affordable Care Act (ACA) on applications to federal disability programs in 14 states that expanded Medicaid in January 2014. We use a difference-in-differences regression model to compare disability application rates in geographic areas within states that expanded Medicaid to rates in areas of non-expansion states that were carefully selected using a matching approach that accounts for state Medicaid policies pre-ACA as well as demographic and socioeconomic characteristics that might influence disability application rates. We find a slower decrease in Supplemental Security Income (SSI) application rates after Medicaid expansions in expansion states relative to non-expansion states, with application rates declining in both state groups from 2014 through 2016. Our analysis of the impact of the Medicaid expansions on Social Security Disability Insurance (SSDI) application rates was inconclusive for reasons we discuss in the paper.

Keywords: Affordable Care Act; disability; medicaid (search for similar items in EconPapers)
Date: 2018
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DOI: 10.1515/fhep-2018-0001

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