Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/170935 
Year of Publication: 
2017
Series/Report no.: 
IZA Discussion Papers No. 10951
Publisher: 
Institute of Labor Economics (IZA), Bonn
Abstract: 
This study contributes to the literature on supply-side adjustments to insurance expansions by examining the effect of the Affordable Care Act (ACA) on ambulance response times. Exploiting temporal and geographic variation in the implementation of the ACA as well as pre-treatment differences in uninsured rates, we estimate that the expansions of private and Medicaid coverage under the ACA combined to slow ambulance response times by an average of 19%. We conclude that, through extending coverage to individuals who, in its absence, would not have availed themselves of emergency medical services, the ACA added strain to emergency response systems.
Subjects: 
Affordable Care Act
ambulance
health insurance
health care capacity
health care workforce
JEL: 
I11
I13
I18
Document Type: 
Working Paper

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