title: Medicaid expansions for the working age disabled: Revisiting the crowd-out of private health insurance.
abstract: Disabled individuals under 65 years old account for 15% of Medicaid recipients but half of all Medicaid spending. Despite their large cost, few studies have investigated the effects of Medicaid expansions for disabled individuals on insurance coverage and crowd-out of private insurance. Using an eligibility expansion that allowed states to provide Medicaid to disabled individuals with incomes less than 100% of the federal poverty level, I address these issues. Crowd-out estimates range from 49% using an ordinary least squares procedure to 100% using two-stage least-squares analysis. This potentially large degree of crowd-out could have fiscal implications for the Affordable Care Act which has greatly expanded Medicaid eligibility in 2014.
authors.affiliation: Department of Economics, University of Notre Dame, 434 Flanner Hall, Notre Dame, IN 46556, United States. Electronic address: kwagner5@nd.edu.
authors.forename: Kathryn L
authors.initials: KL
authors.lastname: Wagner
mesh_terms: D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D004608:Eligibility Determination / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007348:Insurance, Health / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D008297:Male; D008484:Medicaid / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D008875:Middle Aged; D058991:Patient Protection and Affordable Care Act / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D014481:United States
keywords: Crowd-out; Disability; Health insurance; Medicaid expansions; Public programs