CHILDHOOD MEDICAID COVERAGE AND LATER-LIFE HEALTH CARE UTILIZATION

CHILDHOOD MEDICAID COVERAGE AND LATER-LIFE HEALTH CARE UTILIZATION

Exploiting a discontinuity in childhood Medicaid eligibility based on date of birth, we find that more years of childhood eligibility are associated with fewer hospitalizations in adulthood. For blacks, we find a 7% to 15% decrease in hospitalizations and a suggestive 2% to 5% decrease in emergency...

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Veröffentlicht in:The review of economics and statistics 2018-05, Vol.100 (2), p.287-302
Hauptverfasser: Wherry, Laura R., Miller, Sarah, Kaestner, Robert, Meyer, Bruce D.
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Medicaid
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creator Wherry, Laura R.
Miller, Sarah
Kaestner, Robert
Meyer, Bruce D.
description Exploiting a discontinuity in childhood Medicaid eligibility based on date of birth, we find that more years of childhood eligibility are associated with fewer hospitalizations in adulthood. For blacks, we find a 7% to 15% decrease in hospitalizations and a suggestive 2% to 5% decrease in emergency department visits, but no similar effect for nonblacks. The effects are pronounced for utilization related to chronic illnesses and for patients living in low-income postal codes. Calculations suggest that lower rates of hospitalizations during one year in adulthood for blacks offset between 2% and 4% of the initial costs of expanding Medicaid for all children.
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title CHILDHOOD MEDICAID COVERAGE AND LATER-LIFE HEALTH CARE UTILIZATION
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