-
1
المؤلفون: Weiwei Chen
المصدر: Frontiers in Public Health, Vol 6 (2018)
Frontiers in Public Healthمصطلحات موضوعية: young adults, dependent coverage, Affordable Care Act, business.industry, lcsh:Public aspects of medicine, 030503 health policy & services, Public Health, Environmental and Occupational Health, lcsh:RA1-1270, Racial group, 03 medical and health sciences, 0302 clinical medicine, crowd out, insurance duration, Insurance types, Healthy individuals, Health insurance, Medicine, Public Health, 030212 general & internal medicine, Young adult, 0305 other medical science, business, Survey of Income and Program Participation, Original Research, Demography
الوصف: The dependent coverage expansion under the Affordable Care Act (ACA) required health insurance policies that cover dependents to offer coverage for policyholder' children up to age 26. It has been well documented that the provision successfully reduced the uninsured rate among the young adults. However, less is known about whether dependent coverage crowded out other insurance types and whether young adults used dependent coverage as a fill-in-the-gap short-term option. Using data from the Survey of Income and Program Participation 2008 Panel, the paper assesses dependent coverage uptake and duration before and after the ACA provision among young adults aged 19-26 versus those aged 27-30. Regressions for additional coverage outcomes were also performed to estimate the crowd-out rate. It was found that the ACA provision had a significant positive impact on dependent coverage uptake and duration. The estimated crowd-out rate ranges from 27 to 42%, depending on the definition. Most dependent coverage enrollees used the coverage for 1 or 2 years. Differences in dependent coverage uptake and duration remained among racial groups. Less healthy individuals were also less likely to make use of dependent coverage.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4d717b04d2ad06a6502e221f2d059bd8
https://doi.org/10.3389/fpubh.2018.00003