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Early coverage expansions under the Affordable Care Act and Supplemental Security Income participation

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  • Chatterji, Pinka
  • Li, Yue

Abstract

We test whether early Affordable Care Act (ACA) Medicaid expansions in Connecticut (CT), Minnesota (MN), California (CA), and the District of Columbia (DC) affected Supplemental Security Income (SSI) receipt. We use a synthetic control approach, comparing the SSI receipt rate pre and post each early Medicaid expansion (“Early Expanders”) to the weighted receipt rate in states that expanded Medicaid in January 2014 (“Later Expanders”). In CT, the Medicaid expansion is associated with a statistically significant, 7 percent reduction in SSI beneficiaries among individuals aged 18–64. For DC, MN and CA, we do not find consistent evidence that the Medicaid expansions affected disability-related outcomes.

Suggested Citation

  • Chatterji, Pinka & Li, Yue, 2017. "Early coverage expansions under the Affordable Care Act and Supplemental Security Income participation," The Journal of the Economics of Ageing, Elsevier, vol. 10(C), pages 75-83.
    • Handle: RePEc:eee:joecag:v:10:y:2017:i:c:p:75-83
    DOI: 10.1016/j.jeoa.2017.10.001
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    1. Heim, Bradley & Lurie, Ithai & Mullen, Kathleen J. & Simon, Kosali, 2021. "How Much Do Outside Options Matter? The Effect of Subsidized Health Insurance on Social Security Disability Insurance Benefit Receipt," Journal of Health Economics, Elsevier, vol. 76(C).
    2. Lucie Schmidt & Lara D. Shore-Sheppard & Tara Watson, 2020. "The Impact of the ACA Medicaid Expansion on Disability Program Applications," American Journal of Health Economics, University of Chicago Press, vol. 6(4), pages 444-476.
    3. Michael Levere & Heinrich Hock & Nancy Early, 2021. "How does losing health insurance affect disability claims? Evidence from the Affordable Care Act's dependent care mandate," Health Economics, John Wiley & Sons, Ltd., vol. 30(5), pages 932-950, May.
    4. Michael Levere & Heinrich Hock & Nancy Early, "undated". "How Does Losing Health Insurance Affect Disability Claims? Evidence from the Affordable Care Act’s Dependent Care Mandate," Mathematica Policy Research Reports a06bcb7b194241b5a2f1c6713, Mathematica Policy Research.
    5. Michael Levere & Sean Orzol & Lindsey Leininger & Nancy Early, "undated". "Contemporaneous and Long-Term Effects of Children's Public Health Insurance Expansions on Supplemental Security Income Participation," Mathematica Policy Research Reports 92d140d1a39741c481c4630bb, Mathematica Policy Research.

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