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Age-Based Health Insurance Coverage Policies and Mental Health

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  • Han, Yiran

    (University at Albany, SUNY)

  • Yörük, Baris

    (University at Albany, SUNY)

Abstract

More than 18 percent of U.S. adults met the diagnostic criteria for a mental illness. Yet, many who could benefit from mental health care do not receive any treatment, mostly due to the inability to pay for care or lack of health insurance coverage. How does a sudden change in health insurance coverage status affect psychological well-being and mental health? We explore this question using age-based health insurance coverage policies in the United States as natural experiments. We provide evidence that losing health insurance coverage at age 26 due to aging out from dependent coverage is associated with a statistically significant deterioration in certain indicators of mental health among young adults. On the other hand, we find no evidence of an improvement in mental health or psychological well-being among the elderly at age 65 due to becoming eligible for Medicare. These results are robust to potential changes in risk-taking behavior and physical health at the same age cutoffs.

Suggested Citation

  • Han, Yiran & Yörük, Baris, 2022. "Age-Based Health Insurance Coverage Policies and Mental Health," IZA Discussion Papers 15489, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp15489
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    1. Silvia Helena Barcellos & Mireille Jacobson, 2015. "The Effects of Medicare on Medical Expenditure Risk and Financial Strain," American Economic Journal: Economic Policy, American Economic Association, vol. 7(4), pages 41-70, November.
    2. Barbaresco, Silvia & Courtemanche, Charles J. & Qi, Yanling, 2015. "Impacts of the Affordable Care Act dependent coverage provision on health-related outcomes of young adults," Journal of Health Economics, Elsevier, vol. 40(C), pages 54-68.
    3. Dillender, Marcus, 2015. "The effect of health insurance on workers’ compensation filing: Evidence from the affordable care act's age-based threshold for dependent coverage," Journal of Health Economics, Elsevier, vol. 43(C), pages 204-228.
    4. Alison L. Booth & Patrick Nolen, 2012. "Gender differences in risk behaviour: does nurture matter?," Economic Journal, Royal Economic Society, vol. 122(558), pages 56-78, February.
    5. Maclean, J. Catherine & Tello-Trillo, Sebastian & Webber, Douglas A., 2019. "Losing Insurance and Behavioral Health Hospitalizations: Evidence from a Large-Scale Medicaid Disenrollment," IZA Discussion Papers 12463, Institute of Labor Economics (IZA).
    6. Soss, Joe & Schram, Sanford F., 2007. "A Public Transformed? Welfare Reform as Policy Feedback," American Political Science Review, Cambridge University Press, vol. 101(1), pages 111-127, February.
    7. Imbens, Guido W. & Lemieux, Thomas, 2008. "Regression discontinuity designs: A guide to practice," Journal of Econometrics, Elsevier, vol. 142(2), pages 615-635, February.
    8. Yörük Barış K., 2018. "Health insurance coverage and health care utilization: Evidence from the Affordable Care Act’s dependent coverage mandate," Forum for Health Economics & Policy, De Gruyter, vol. 21(2), pages 1-24, December.
    9. Tu T. Nguyen & Barış K. Yörük, 2020. "Aging out of dependent coverage and the effects on the use of inpatient medical care," International Journal of Health Economics and Management, Springer, vol. 20(4), pages 381-390, December.
    10. Hahn, Jinyong & Todd, Petra & Van der Klaauw, Wilbert, 2001. "Identification and Estimation of Treatment Effects with a Regression-Discontinuity Design," Econometrica, Econometric Society, vol. 69(1), pages 201-209, January.
    11. Kotsadam, Andreas & Jakobsson, Niklas, 2011. "Do laws affect attitudes? An assessment of the Norwegian prostitution law using longitudinal data," International Review of Law and Economics, Elsevier, vol. 31(2), pages 103-115, June.
    12. Dahlen, H.M., 2015. ""Aging out" of dependent coverage and the effects on us labor market and health insurance choices," American Journal of Public Health, American Public Health Association, vol. 105, pages 640-650.
    13. David S. Lee & Thomas Lemieux, 2010. "Regression Discontinuity Designs in Economics," Journal of Economic Literature, American Economic Association, vol. 48(2), pages 281-355, June.
    14. David Card & Carlos Dobkin & Nicole Maestas, 2009. "Does Medicare Save Lives?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(2), pages 597-636.
    15. Barış K. Yörük & Linna Xu, 2019. "Impact of the ACA’s Dependent Coverage Mandate on Health Insurance and Labor Market Outcomes Among Young Adults: Evidence from Regression Discontinuity Design," Eastern Economic Journal, Palgrave Macmillan;Eastern Economic Association, vol. 45(1), pages 58-86, January.
    16. Matias Cattaneo & Rocio Titiunik & Gonzalo Vazquez-Bare, 2019. "Power calculations for regression-discontinuity designs," Stata Journal, StataCorp LP, vol. 19(1), pages 210-245, March.
    17. David Card & Carlos Dobkin & Nicole Maestas, 2008. "The Impact of Nearly Universal Insurance Coverage on Health Care Utilization: Evidence from Medicare," American Economic Review, American Economic Association, vol. 98(5), pages 2242-2258, December.
    18. Barış K. Yörük, 2016. "Health insurance coverage and self-reported health: new estimates from the NLSY97," International Journal of Health Economics and Management, Springer, vol. 16(3), pages 285-295, September.
    19. Jungtaek Lee & Juyeon Kim, 2020. "The role of health insurance in mental health care for young adults," Applied Economics, Taylor & Francis Journals, vol. 52(42), pages 4577-4593, September.
    20. Akosa Antwi, Yaa & Moriya, Asako S. & Simon, Kosali I., 2015. "Access to health insurance and the use of inpatient medical care: Evidence from the Affordable Care Act young adult mandate," Journal of Health Economics, Elsevier, vol. 39(C), pages 171-187.
    21. Pinka Chatterji & Tu Nguyen & Bariş K. Yörük, 2022. "The Effects of Medicare on Health-Care Utilization and Spending Among the Elderly," American Journal of Health Economics, University of Chicago Press, vol. 8(2), pages 151-180.
    22. Kyle J. Caswell & John H. Goddeeris, 2020. "Does Medicare Reduce Medical Debt?," American Journal of Health Economics, University of Chicago Press, vol. 6(1), pages 72-103.
    23. Daeho Kim, 2022. "The Effect of the Affordable Care Act Dependent Coverage Mandate on Health Insurance and Labor Supply: Evidence from Alternative Research Designs," ILR Review, Cornell University, ILR School, vol. 75(3), pages 769-793, May.
    24. Ayyagari, Padmaja & Shane, Dan M., 2015. "Does prescription drug coverage improve mental health? Evidence from Medicare Part D," Journal of Health Economics, Elsevier, vol. 41(C), pages 46-58.
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    More about this item

    Keywords

    affordable care act; dependent coverage; health insurance; medicare; mental health; psychological well-being;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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