全球智库信息集成服务系统(G2TT): Contemporaneous and Long-Term Effects of Children's Public Health Insurance Expansions on Supplemental Security Income Participation

G2TT

来源类型	Publication
来源ID	DRC Working Paper Number: 2018-03
	Contemporaneous and Long-Term Effects of Children's Public Health Insurance Expansions on Supplemental Security Income Participation
	Michael Levere; Sean Orzol; Lindsey Leininger; and Nancy Early
发表日期	2018-05-30
出版者	Princeton, NJ: Mathematica Policy Research
出版年	2018
语种	英语
概述	We assess how increased Medicaid generosity affects participation in SSI. In states where SSI recipients did not automatically receive Medicaid, expansions in public health insurance coverage significantly decreased applications and awards. In the long-term, increased Medicaid eligibility during childhood reduced young adult SSI applications.",
摘要	Key Findings: Increased Medicaid generosity for children leads to reductions in SSI applications and awards in states where SSI recipients did not automatically receive Medicaid. A 10 percentage point increase in the estimated share eligible for Medicaid (or 21 percent relative to the mean) was associated with an 11 percent decrease in SSI applications. We attribute the difference in findings to the higher transactions costs associated with entering Medicaid via SSI in such states. In the long run, increased Medicaid eligibility during childhood appears to reduce adult SSI applications to some extent, consistent with recent findings that Medicaid coverage in youth improves adult health and economic outcomes. We found that one more year of eligibility during childhood reduced SSI applications by about 3 percent for those ages 20 to 28. This study explores the interplay between two important public programs for vulnerable children: Medicaid and the Supplemental Security Income (SSI) program. Medicaid eligibility for children expanded in the late 1990s and early 2000s, primarily due to the creation of the Children’s Health Insurance Program (CHIP). We use a measure of simulated eligibility as an exogenous source of variation in Medicaid generosity to identify the effects of Medicaid eligibility expansions on SSI outcomes. Simulated eligibility varies over states and time only because of state-specific Medicaid thresholds. On average, increases in Medicaid eligibility did not affect contemporaneous youth SSI applications or awards. However, in states where SSI recipients did not automatically receive Medicaid, expansions in public health insurance coverage led to a significant decrease in both applications and awards. We attribute the difference in findings to the higher transactions costs associated with entering Medicaid via SSI in such states. An alternative route to Medicaid coverage might be particularly appealing to potential SSI applicants in these states. In the long-term, we find that increased Medicaid eligibility during childhood reduces young adult SSI applications to some extent, consistent with recent findings that Medicaid coverage in youth improves adult health and economic outcomes.
URL	https://www.mathematica.org/our-publications-and-findings/publications/contemporaneous-and-long-term-effects-of-childrens-public-health-insurance-expansions
来源智库	Mathematica Policy Research (United States)
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/489260
推荐引用方式 GB/T 7714	Michael Levere,Sean Orzol,Lindsey Leininger,et al. Contemporaneous and Long-Term Effects of Children's Public Health Insurance Expansions on Supplemental Security Income Participation. 2018.

条目包含的文件
文件名称/大小	资源类型	版本类型	开放类型	使用许可
DRC WP 2018 03 CHIP （530KB）	智库出版物		限制开放	CC BY-NC-SA	浏览