Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/207378 
Year of Publication: 
2019
Series/Report no.: 
IZA Discussion Papers No. 12552
Publisher: 
Institute of Labor Economics (IZA), Bonn
Abstract: 
We estimate the effect of the Affordable Care Act Medicaid expansion on county-level mortality in the first four years following expansion. We find a reduction in all-cause mortality in ages 20 to 64 equaling 11.36 deaths per 100,000 individuals, a 3.6 percent decrease. This estimate is largely driven by reductions in causes of death likely to be influenced by access to health care, and equates to one life saved per 310 newly covered individuals. A cost-benefit analysis shows that the improvement in welfare due to mortality responses may offset the entire net-of-transfers expenditure associated with the expansion.
Subjects: 
health insurance
Medicaid
mortality
public health insurance
healthcare
Affordable Care Act
JEL: 
H75
I13
I14
I18
I38
Document Type: 
Working Paper

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