Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/272430 
Year of Publication: 
2022
Series/Report no.: 
IZA Discussion Papers No. 15803
Publisher: 
Institute of Labor Economics (IZA), Bonn
Abstract: 
This paper examines the impact of Medicaid expansions to parents and childless adults on adult mortality. Specifically, we evaluate the long-run effects of eight state Medicaid expansions from 1994 through 2005 on all-cause, healthcare-amenable, non-healthcare-amenable, and HIV-related mortality rates using state-level data. We utilize the synthetic control method to estimate effects for each treated state separately and the generalized synthetic control method to estimate average effects across all treated states. Using a 5% significance level, we find no evidence that Medicaid expansions affect any of the outcomes in any of the treated states or all of them combined. Moreover, there is no clear pattern in the signs of the estimated treatment effects. These findings imply that evidence that pre-ACA Medicaid expansions to adults saved lives is not as clear as previously suggested.
Subjects: 
all-cause mortality
healthcare-amenable mortality
Medicaid
generalized synthetic control method
public health
healthcare reform
JEL: 
I13
I18
I38
Document Type: 
Working Paper

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