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Mandating Health Insurance Coverage for High-Income Individuals

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  • Paul D. Jacobs

Abstract

I seek to untangle the effect of the Affordable Care Act's (ACA's) individual mandate for health coverage by focusing on higher-income non-elderly adults and exploiting state differences in the rules governing premium setting and coverage issuance in the non-group market prior to 2014. Using the American Community Survey (ACS) from 2012 through 2016, the individual mandate penalties were associated with 7-12 percentage points of the 13-percentage-point increase in coverage for higher-income adults in the non-group market (a 19-30 percent reduction in uninsurance).

Suggested Citation

  • Paul D. Jacobs, 2018. "Mandating Health Insurance Coverage for High-Income Individuals," National Tax Journal, National Tax Association;National Tax Journal, vol. 71(4), pages 807-828, December.
    • Handle: RePEc:ntj:journl:v:71:y:2018:i:4:p:807-828
    DOI: 10.17310/ntj.2018.4.10
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    Cited by:

    1. Aparna Soni, 2022. "The impact of the repeal of the federal individual insurance mandate on uninsurance," International Journal of Health Economics and Management, Springer, vol. 22(4), pages 423-441, December.
    2. Buchmueller, Thomas C. & Cheng, Terence C. & Pham, Ngoc T.A. & Staub, Kevin E., 2021. "The effect of income-based mandates on the demand for private hospital insurance and its dynamics," Journal of Health Economics, Elsevier, vol. 75(C).
    3. Benjamin R. Handel & Jonathan T. Kolstad, 2021. "The Affordable Care Act After a Decade: Industrial Organization of the Insurance Exchanges," NBER Working Papers 29178, National Bureau of Economic Research, Inc.

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