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The affordable care act and ambulance response times

Charles Courtemanche (), Andrew Friedson (), Andrew P. Koller and Daniel I. Rees

Journal of Health Economics, 2019, vol. 67, issue C

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.

Keywords: Affordable care act; Ambulance; Health insurance; Health care capacity; Health care workforce (search for similar items in EconPapers)
JEL-codes: H51 I11 I13 I18 (search for similar items in EconPapers)
Date: 2019
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Working Paper: The Affordable Care Act and Ambulance Response Times (2017) Downloads
Working Paper: The Affordable Care Act and Ambulance Response Times (2017) Downloads
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Persistent link: https://EconPapers.repec.org/RePEc:eee:jhecon:v:67:y:2019:i:c:s0167629618300523

DOI: 10.1016/j.jhealeco.2019.05.010

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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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