Revisiting the Connection between State Medicaid Expansions and Adult Mortality

Charles Courtemanche, Jordan Jones, Antonios Koumpias and Daniela Zapata ()
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Daniela Zapata: American Institutes for Research

No 15803, IZA Discussion Papers from Institute of Labor Economics (IZA)

Abstract: This paper examines the impact of Medicaid expansions to parents and childless adults on adult mortality. Specifically, we evaluate the long-run effects of eight state Medicaid expansions from 1994 through 2005 on all-cause, healthcare-amenable, non-healthcare-amenable, and HIV-related mortality rates using state-level data. We utilize the synthetic control method to estimate effects for each treated state separately and the generalized synthetic control method to estimate average effects across all treated states. Using a 5% significance level, we find no evidence that Medicaid expansions affect any of the outcomes in any of the treated states or all of them combined. Moreover, there is no clear pattern in the signs of the estimated treatment effects. These findings imply that evidence that pre-ACA Medicaid expansions to adults saved lives is not as clear as previously suggested.

Keywords: generalized synthetic control method; Medicaid; healthcare-amenable mortality; all-cause mortality; public health; healthcare reform (search for similar items in EconPapers)
JEL-codes: I13 I18 I38 (search for similar items in EconPapers)
Pages: 56 pages
Date: 2022-12
New Economics Papers: this item is included in nep-hea and nep-law
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Published - published in: Southern Economic Journal, 2024, 91 (1), 187-212

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Related works:
Journal Article: Revisiting the connection between state Medicaid expansions and adult mortality (2024)
Working Paper: Revisiting the Connection Between State Medicaid Expansions and Adult Mortality (2023)
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