The Affordable Care Act and Ambulance Response Times

Charles Courtemanche, Andrew Friedson, Andrew P. Koller and Daniel Rees

No 23722, NBER Working Papers from National Bureau of Economic Research, Inc

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.

JEL-codes: I11 I13 I18 (search for similar items in EconPapers)
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 (10)

Published as Charles Courtemanche & Andrew Friedson & Andrew P. Koller & Daniel I. Rees, 2019. "THE AFFORDABLE CARE ACT AND AMBULANCE RESPONSE TIMES," Journal of Health Economics, .

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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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