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The effect of Medicaid premiums on enrollment: A regression discontinuity approach

Laura Dague

Journal of Health Economics, 2014, vol. 37, issue C, 1-12

Abstract: This paper estimates the effect that premiums in Medicaid have on the length of enrollment of program beneficiaries. Whether and how low income-families will participate in the exchanges and in states’ Medicaid programs depends crucially on the structure and amounts of the premiums they will face. I take advantage of discontinuities in the structure of Wisconsin's Medicaid program to identify the effects of premiums on enrollment for low-income families. I use a 3-year administrative panel of enrollment data to estimate these effects. I find an increase in the premium from 0 to 10 dollars per month results in 1.4 fewer months enrolled and reduces the probability of remaining enrolled for a full year by 12 percentage points, but other discrete changes in premium amounts do not affect enrollment or have a much smaller effect. I find no evidence of program enrollees intentionally decreasing labor supply in order to avoid the premiums.

Keywords: Premiums; Administrative data; Medicaid; Wisconsin; Regression discontinuity (search for similar items in EconPapers)
JEL-codes: H75 I00 I13 I18 I38 (search for similar items in EconPapers)
Date: 2014
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Citations: View citations in EconPapers (16)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:jhecon:v:37:y:2014:i:c:p:1-12

DOI: 10.1016/j.jhealeco.2014.05.001

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Journal of Health Economics is currently edited by J. P. Newhouse, A. J. Culyer, R. Frank, K. Claxton and T. McGuire

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