Health insurance reform and retirement: Evidence from the Affordable Care Act

2019 ◽  
Vol 28 (12) ◽  
pp. 1462-1475 ◽  
Author(s):  
Kevin Wood
Keyword(s):  
Health Insurance ◽  
Affordable Care Act ◽  
Insurance Reform ◽  
Health Insurance Reform ◽  
The Affordable Care Act

scholarly journals Part-time Employment and Health Insurance Reform: What Can Massachusetts Tell Us about the Affordable Care Act?

2017 ◽  
Vol 2 (3) ◽  
pp. 01 ◽  
Author(s):  
Laura J. Owen
Keyword(s):  
Health Insurance ◽  
Affordable Care Act ◽  
Labor Demand ◽  
State Level ◽  
Insurance Reform ◽  
Health Insurance Reform ◽  
Period Effects ◽  
Part Time ◽  
The Affordable Care Act ◽  
The Impact

<p>Experience with health insurance reform in Massachusetts may provide a good forecast of the impact of the Affordable Care Act [ACA] on the growth of part-time employment. Concerns have been expressed that the ACA will lead to growing part-time employment, but it will take several years to observe this effect and whether it is labor demand (firm) or labor supply (worker) initiated. Using state-level data from 1999 to 2012, I treat the 2007 implementation of the new Massachusetts health insurance system as an “experiment” to examine whether it had any differential effect on the growth in part-time employment in the state. A panel estimation including fixed cross-section and period effects reveals that voluntary part-time employment increased in Massachusetts relative to the other states, but reform measures did not have an effect on involuntary part-time employment. The impact of the reform on voluntary part-time employment suggests that some Massachusetts workers found the pre-reform system to be an obstacle to their choice of optimal work hours. The implementation of the ACA, by providing avenues for obtaining health insurance that are not directly tied to employment, may remove this obstacle for workers in other states and make part-time employment a more attractive choice for workers across the U.S.</p>

scholarly journals Disability Insurance and Health Insurance Reform: Evidence from Massachusetts

2014 ◽  
Vol 104 (5) ◽  
pp. 329-335 ◽  
Author(s):  
Nicole Maestas ◽  
Kathleen J. Mullen ◽  
Alexander Strand
Keyword(s):  
Health Insurance ◽  
Affordable Care Act ◽  
Insurance Coverage ◽  
Disability Insurance ◽  
Health Insurance Coverage ◽  
Insurance Reform ◽  
Health Insurance Reform ◽  
Access To Health ◽  
Social Security Disability ◽  
The Cost

As health insurance becomes available outside of the employment relationship as a result of the Affordable Care Act (ACA), the cost of applying for Social Security Disability Insurance (SSDI)—potentially going without health insurance coverage during a waiting period totaling 29 months from disability onset —will decline for many people with employer-sponsored health insurance. At the same time, the value of SSDI and Supplemental Security Income (SSI) participation will decline for individuals who otherwise lacked access to health insurance. We study the 2006 Massachusetts health insurance reform to estimate the potential effects of the ACA on SSDI and SSI applications.

scholarly journals Dental Expenditure by Household Income in Korea over the Period 2008–2017: A Review of the National Dental Insurance Reform

2021 ◽  
Vol 18 (8) ◽  
pp. 3859
Author(s):  
Hosung Shin ◽  
Han-A Cho ◽  
Bo-Ra Kim
Keyword(s):  
Health Insurance ◽  
Concentration Index ◽  
Dental Health ◽  
Age Groups ◽  
The Elderly ◽  
Dental Service ◽  
Delta Method ◽  
Dental Services ◽  
Insurance Reform ◽  
Health Insurance Reform

Since 2009, the National Health Insurance in Korea (NHI) has been implementing a series of policies to expand the scope of dental benefits. This study reviewed the changes in co-payments and dental use patterns before (2008 to 2012) and after (2013 to 2017) the NHI’s dental health insurance reform. The study used Korea Health Panel data of 7681 households (16,493 household members) from a 10-year period (2008–2017). Dental expenditures and equivalent income using square root of household size were analyzed. Dental services were categorized into 13 types and a concentration index and 95% confidence interval using the delta method was calculated to identify income-related inequalities by a dental service. Dental expenditures and the number of dental services used increased significantly, while the proportion of out-of-pocket spending by the elderly decreased. The expenditure ratio for implant services to total dental expenditures increased substantially in all age groups, but the ratio of expenditures for dentures and fixed bridges decreased relatively. The concentration index of implant services was basically in favor of the rich, but there was no longer a significant bias favoring the better-off after the reforms. The dental health insurance reform in Korea appears to contribute not only to lowering the ratio of out-of-pocket to total dental expenses per episode in the elderly but also to improving the inequality of dental expenses.

scholarly journals Health Insurance Coverage before and after the Affordable Care Act in the USA

Sci ◽  
2021 ◽  
Vol 3 (2) ◽  
pp. 25
Author(s):  
Jesse Patrick ◽  
Philip Q. Yang
Keyword(s):  
Health Insurance ◽  
National Health ◽  
Affordable Care Act ◽  
The United States ◽  
Insurance Status ◽  
Health Insurance Status ◽  
Full Implementation ◽  
Before And After ◽  
The Affordable Care Act ◽  
Partial Implementation

The Affordable Care Act (ACA) is at the crossroads. It is important to evaluate the effectiveness of the ACA in order to make rational decisions about the ongoing healthcare reform, but existing research into its effect on health insurance status in the United States is insufficient and descriptive. Using data from the National Health Interview Surveys from 2009 to 2015, this study examines changes in health insurance status and its determinants before the ACA in 2009, during its partial implementation in 2010–2013, and after its full implementation in 2014 and 2015. The results of trend analysis indicate a significant increase in national health insurance rate from 82.2% in 2009 to 89.4% in 2015. Logistic regression analyses confirm the similar impact of age, gender, race, marital status, nativity, citizenship, education, and poverty on health insurance status before and after the ACA. Despite similar effects across years, controlling for other variables, youth aged 26 or below, the foreign-born, Asians, and other races had a greater probability of gaining health insurance after the ACA than before the ACA; however, the odds of obtaining health insurance for Hispanics and the impoverished rose slightly during the partial implementation of the ACA, but somewhat declined after the full implementation of the ACA starting in 2014. These findings should be taken into account by the U.S. Government in deciding the fate of the ACA.

Sign in / Sign up

Export Citation Format

Share Document